Staff Examination Survey
Please complete this survey to provide feedback and evaluation on staff performance.
Staff Full Name
*
First Name
Last Name
Department
*
Please Select
Human Resources
Finance
Operations
Sales
Customer Service
IT
Other
Examination Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Staff Performance
*
1
2
3
4
5
Key Strengths Observed
Areas Needing Improvement
Would you recommend this staff member for additional responsibilities?
*
Yes
No
Not Sure
Additional Comments or Suggestions
Submit Survey
Should be Empty: