This form may be used to evaluate a supervisor, team leader, employer, manager,
etc.
Please help me by completing this anonymous appraisal so that I can become
a better "boss".
How to Evaluate:
AAHA suggests that it is a good idea to ask the hospital staff for an "upward
appraisal" of the boss at
least once a year. I'd like to get your feedback. Please complete this form,
place it in a SEALED
envelope, and put it in __________'s box (managers, owners, whomever will be
tallying the
results, NOT the person being reviewed). This person will then tally the results
and create an average
for each question. Any written comments will be typed up separately and added
to the tallies. In order
to complete the anonymity of this form, please DO NOT sign it or put your name
on it.
Name of person to be reviewed: ___________________________
| |
No Opinion
|
Poor
|
Fair
|
Good
|
Excellent
|
| |
0
points
|
1
point
|
2 points
|
3 points
|
4
points
|
| 1. Conducts him/herself in a professional manner. |
|
|
|
|
|
| 2. Is a good listener |
|
|
|
|
|
| 3. Is good at giving feedback to others |
|
|
|
|
|
| 4. Is open to other people's ideas and opinions |
|
|
|
|
|
| 5. Is thoughtful and considerate of staff members |
|
|
|
|
|
| 6. Has good self-control under pressure |
|
|
|
|
|
| 7. Will admit it or apologize when wrong |
|
|
|
|
|
| 8. Is punctual |
|
|
|
|
|
| 9. Leaves personal affairs at home |
|
|
|
|
|
| 10. Gives compliments and positive feedback |
|
|
|
|
|
| 11. Provides on-the-job training |
|
|
|
|
|
| 12. Willingly answers questions from staff members |
|
|
|
|
|
| 13. Lets me know in a fair and constructive manner when I
have done something wrong |
|
|
|
|
|
| 14. Keeps his/her promises |
|
|
|
|
|
| 15. Delegates the authority I need to do my job |
|
|
|
|
|
| 16. Has good people skills |
|
|
|
|
|
17. What one change or one thing can I (the reviewee) do to better support
you (the staff member)?
18. Any Additional Feedback (positive or negative) is appreciated!
Front Page : Library : "Boss" Evaluation Form