Technician Role Play Evaluation Form
Please complete the Technician Role Play Evaluation Form to assess technician performance during the role-play scenario.
Evaluator Name
*
Role-Play Scenario Observed
*
Overall Performance Rating
*
1
2
3
4
5
Communication Skills
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Technical Accuracy
*
Inaccurate
1
2
3
4
Highly Accurate
5
1 is Inaccurate, 5 is Highly Accurate
Problem-Solving Ability
*
Needs Improvement
Satisfactory
Good
Excellent
Professionalism Displayed
*
Unprofessional
Somewhat Professional
Professional
Highly Professional
Adherence to Procedures
*
Rows
Not Observed
Partially Observed
Fully Observed
Safety Protocols
1
2
3
Standard Operating Procedures
4
5
6
Customer Interaction Guidelines
7
8
9
Areas of Strength (select all that apply)
Technical Knowledge
Communication
Customer Service
Problem Solving
Other
Additional Comments or Recommendations
Submit Evaluation
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