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Employee Evaluation Form
Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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1) I have no barriers to getting my job done
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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2) I have sufficient resources available to meet my goals
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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3) My goals are very clearly defined
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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4) Decisions are made quickly to help me stay focused on achieving my goals
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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5) I know how my progress is being measured
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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6) My fellow team members are committed to doing quality work
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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1) My team leader involves me in improving work processes
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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2) I have significant flexibility to enable me to define the best way to get my job done
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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3) My team leader defines clear boundaries within which I can use my skills and knowledge to make decisions
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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4) I am expected to provide ideas for improvement
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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5) I have the authority to implement changes to work processes
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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6) My opinion really counts
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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1) My job requirements match my natural abilities and interests
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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2) My skills are put to their “highest and best use” for the organization
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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3) I never find myself frustrated performing tasks someone else could do that can be eliminated or automated
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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4) In the past year, I have had an opportunity to develop new job skills
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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5) My team leader frequently coaches me to help me succeed
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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6) I have the opportunity to do what I do best every day
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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1) My team has a clear sense of purpose
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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2) I know exactly how my role connects to my team’s purpose
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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3) I am very proud to be part of my team
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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4) I look forward to coming to work each day
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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5) I never have to perform a task that does not directly support my team’s purpose
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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6) I feel that my job is important
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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1) I have someone at work who cares about me as a person
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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2) My team is not too large
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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3) I have a best friend at work
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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4) I feel connected to my customers whether they are internal or external
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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5) My team has predictable rituals
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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6) My team’s celebrations make me feel connected to my fellow team members
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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1) In the last two weeks, I have received recognition or praise for doing good work
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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2) My team leader really knows who I am as a person
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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3) It is the norm to hear the words “please” and “thank you” on my team
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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4) My team leader acknowledges my contributions to others who are outside my team
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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5) My team leader always finds the time to thank me for my efforts
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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6) I feel like a valuable member of my team
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Key: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree
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OTHER FEEDBACK:
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Please be as detailed as possible, your feedback is extremely valuable
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Name
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First Name
Last Name
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Email
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