Peer Review
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employee to be reviewed:
*
First Name
Last Name
Office Name & Location
*
Rapport with Team
*
Rows
No
Not Really
Most of the Time
Yes
n/a
On time
Reliable
Proud of their appearance
Proud of their behavior
Goes out of the way for you
Treats you well
Back
Next
Rapport with Patients
*
Rows
No
Not Really
Most of the Time
Yes
n/a
Personalizes greetings
Personalizes interaction
Earns loyal patients
Competencies
*
Rows
No
Not Really
Most of the Time
Yes
n/a
Learns Quickly
Organizes tasks well
Competent
Works fast
Thorough
Accurate
What do you like MOST about this employee?
*
Give a rating to the thing you like most.
*
I REALLY love this about this employee
I love this
I just like this
Just giving an answer
n/a
Back
Next
What do you like LEAST? And what can they do to improve?
*
Give a rating to the thing you like least.
*
I REALLY hate this about this employee
I hate this
I just don't like this
Just giving an answer
n/a
Do you LOVE this person for this position?
*
Absolutely!
Yes
I just like this person for the position
Not really
Absolutely not!
n/a
Explain why you LOVE (or not love) this person for this position.
*
Should this member remain a part of this team?
*
No
Maybe
Yes
Absolutely!
Back
Next
Your Initials
*
E-mail where this should be sent:
*
Score
Submit
Should be Empty: