Untitled Document

PMI PEER EVALUATION FORM

Thank you for participating in the survey.
Your time and comments are sincerely appreciated.

User Code:

Date:

Evaluation for:

How often do you interact with this person?

Several times a day

Several times a week

Several times a month

Please rate this person based on your personal interaction (not rumor or hearsay.)


Job Performance and Knowledge
1. Understands and accepts goals.	Never	Sometimes	Always	I Don't Know
2. Has appropriate knowledge to perform job.	Never	Sometimes	Always	I Don't Know
3. Able to multitask.	Never	Sometimes	Always	I Don't Know
4. Provides feedback.	Never	Sometimes	Always	I Don't Know
5. Offers ideas/suggestions for improvement.	Never	Sometimes	Always	I Don't Know
6. Willing to work extra hours as needed.	Never	Sometimes	Always	I Don't Know
7. Takes responsibility for his/her actions.	Never	Sometimes	Always	I Don't Know
8. Takes initiative to assist others.	Never	Sometimes	Always	I Don't Know
9. Consistently meets deadlines.	Never	Sometimes	Always	I Don't Know
10. Open to change.	Never	Sometimes	Always	I Don't Know
11. Follows and/or enforces policies and procedures equally and appropriately	Never	Sometimes	Always	I Don't Know
12. Follows through on assignments/tasks	Never	Sometimes	Always	I Don't Know

Interpersonal
13. Actively participates as part of the team.	Never	Sometimes	Always	I Don't Know
14. Is approachable on different subjects.	Never	Sometimes	Always	I Don't Know
15. Is accessible.	Never	Sometimes	Always	I Don't Know
16. Deals with pressure and conflict positively.	Never	Sometimes	Always	I Don't Know
17. Seeks to understand before rendering judgment.	Never	Sometimes	Always	I Don't Know
18. Is senitive to others' feelings and points of view.	Never	Sometimes	Always	I Don't Know

Communication
19. Shares information openly.	Never	Sometimes	Always	I Don't Know
20. Encourages diversity of opinions.	Never	Sometimes	Always	I Don't Know
21. Provides clear communication.	Never	Sometimes	Always	I Don't Know

Values
22. Courteous to others (patients and co-workers.)	Never	Sometimes	Always	I Don't Know
23. Treats others with respect.	Never	Sometimes	Always	I Don't Know
24. Is someone I trust.	Never	Sometimes	Always	I Don't Know
Comments: What things do you like about this person and/or their job performance?
What things do you not like about this person and/or their job performance?