Reception and Evaluation Form
Please complete the following to record reception details and provide your evaluation.
Full Name
*
First Name
Last Name
Contact Email
*
example@example.com
Date and Time of Reception
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Reception
*
Person
Document
Product/Item
Other
Description or Reference Number
Initial Observations or Notes
Evaluation Criteria
*
Rows
Excellent
Good
Fair
Poor
Timeliness
1
2
3
4
Condition/Presentation
5
6
7
8
Completeness
9
10
11
12
Professionalism
13
14
15
16
Overall Rating
*
1
2
3
4
5
Additional Comments
Would you recommend improvements?
*
Yes
No
If yes, please specify your suggestions
Submit Evaluation
Should be Empty: