Adam Sudyka Employee Self Evaluation - 30 Day
General Employment Information
Please fill out the following information about your employment.
Name *
Current Position *
How long have you worked for MedInfo? *
Name of your supervisor *
Employee Self Evaluation
Engagement *
Please answer the questions below with the following score.
1 = Strongly Disagree/Dissatisfied
2 = Disagree
3 = Neutral
4 = Agree
5 = Strongly Agree/Satisfied
1 = Strongly Disagree/Dissatisfied
2 = Disagree
3 = Neutral
4 = Agree
5 = Strongly Agree/Satisfied
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| I am proud to tell others I work at MedInfo. | |||||
| My job provides me with a sense of personal accomplishment. | |||||
| I would prefer to remain with MedInfo even if a comparable job were available in another company. | |||||
| Taking everything into account, how satisfied are you with your current job? | |||||
| I am willing to put in a great deal of effort beyond what is expected to help my work group succeed. |
Comments/Suggestions
Leadership *
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| My supervisor demonstrates genuine concern for me as a person. | |||||
| I consistently acquire new knowledge, skills or understanding through contact with my supervisor. | |||||
| My supervisor listens and takes my suggestions and ideas into account. | |||||
| Actions by Executive management (not your supervisor) show genuine interest in the well-being of employees. |
Comments/Suggestions
Effectiveness *
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| I'm efficient at work and my achievements are successful. | |||||
| I have enough work. | |||||
| I am given too much work. | |||||
| My supervisor is always supportive of me. | |||||
| Compared to similar jobs in other companies where I could work, my total compensation is where it should be. |
Comments/Suggestions
Continuous Improvement *
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| My work contributes towards the continuous improvement of MedInfo (our products and services). | |||||
| The company continues to improve my abilities and skills. | |||||
| Overall, I believe the quality of products and/or services at MedInfo are the best they can be. | |||||
| Leadership allows me to help improve MedInfo's goals. | |||||
| I have the same opportunity to succeed as others with similar skills, performance and educational background. | |||||
| I understand the company strategy and what I need to do to be successful. | |||||
| I seek advancement opportunities with MedInfo. |
Comments/Suggestions
Openness *
| 1 | 2 | 3 | 4 | 5 | |
|---|---|---|---|---|---|
| I know the company's values and support them. | |||||
| Leadership is always willing to help and listen. | |||||
| My supervisor is open to my suggestions and recommendations. | |||||
| My voice is heard as an employee. | |||||
| I feel my supervisor could help me more. |
Comments/Suggestions
Improvements and Goals
List 3 strengths and 2 weaknesses as they pertain to your job.
Provide some strengths that you feel contribute to your performance and tell us how we can continue to utilize them.
Do you have weaknesses as they pertain to your work or job responsibilities? Please list any weaknesses and tell us how we can improve on them.
What are your goals?
Do you have personal or professional goals you are working towards?
What would you like to see improved?
As a company we strive to excel and improve, how can we do that? What could we improve and how?
Company suggestions
Do you have a suggestion for us? Maybe a suggestion for management? How about any suggestions on how to make your day better?