One 2 One / Self evaluation form
Please ensure this is completed at least 48 hours before your scheduled one 2 one with your manager
Name
*
First Name
Last Name
Department
*
Print Customer Service
Train Customer Service
Pre-Press
Job Title
*
Date
*
-
Month
-
Day
Year
Date
How are you feeling currently?
*
What are your biggest accomplishments this month?
*
What is your biggest challenge right now?
*
Is there anything that you feel is impacting you in a negative way that we should talk about?
*
Please rate yourself on the below (Be honest)
Poor
Not Good
Average
Good
Very Good
Excellent
Communication
1
2
3
4
5
6
Efficiency
7
8
9
10
11
12
Team work
13
14
15
16
17
18
Work ethic
19
20
21
22
23
24
I feel I have worked at a satisfactory level over the past month
*
1
2
3
4
5
Disagree
Agree
1 is Disagree, 5 is Agree
I am proactive instead of being reactive
*
1
2
3
4
5
Disagree
Agree
1 is Disagree, 5 is Agree
I have achieved the goals set by my manager in our last one 2 one
*
1
2
3
4
5
Disagree
Agree
1 is Disagree, 5 is Agree
Please give details on your scoring
How can your manager support you over the next month?
*
Submit
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