Government Official Performance Assessment Form
Please complete this form to provide a structured evaluation of a government official’s performance. Your feedback is important for continuous improvement.
Official’s Full Name
*
First Name
Last Name
Official’s Position/Title
*
Department/Agency
*
Evaluator’s Name
*
First Name
Last Name
Relationship to Official
*
Please Select
Supervisor
Colleague
Subordinate
External Stakeholder
Other
Performance Evaluation Criteria
*
Rows
Poor
Fair
Good
Very Good
Excellent
Professionalism
1
2
3
4
5
Communication
6
7
8
9
10
Accountability
11
12
13
14
15
Decision-Making
16
17
18
19
20
Leadership
21
22
23
24
25
Responsiveness
26
27
28
29
30
Overall Performance Rating
*
1
2
3
4
5
Areas of Strength
Areas for Improvement
Additional Comments
Submit Assessment
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