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Medeolinx Performance Self Assessment Sprint Card Jake S Team
In this form you can do an evaluation and report to a manager or supervisor the person's performance level that is undergoing review.
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1
Select your Full Name
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George M. Rosenblum
Amanda A. Ambrose
Mavis B. Rothschild
Phillip S. Kyle
Please Select
Please Select
George M. Rosenblum
Amanda A. Ambrose
Mavis B. Rothschild
Phillip S. Kyle
1
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2
Period from
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Date
Month
Day
Year
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3
To
-
Date
Month
Day
Year
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4
Select active project(s) from the list
*
This field is required.
Active Projects are defined as those where you contributed at least one hour per week for the period
Project Documentation and Training
Computer Management
Web Portal Development
Workflow Development
Intellectual Property Development
Business Development
General Management
Sales & Marketing
Administration Support
Other Activities
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5
Entertotal working hours for the period
*
This field is required.
2
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6
Enter non-company related total working hours for the period
*
This field is required.
3
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7
Enter your learning hours for the period
*
This field is required.
4
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8
Enter the number of times of meetings over 15 minutes during the period
*
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5
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9
Self-assessment Matrixs
*
This field is required.
N/A
Not Satisfied
So so
Average
Good/Proud
Exceptional
Managing time well
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Completing all tasks
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Inventing new solutions
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Motivated for challenges
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Attentive to details
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Responsive to others
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Sharing and documentation
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Row 6, Column 5
Leading with inspirations
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Row 7, Column 5
Managing time well
Completing all tasks
Inventing new solutions
Motivated for challenges
Attentive to details
Responsive to others
Sharing and documentation
Leading with inspirations
N/A
Row 0, Column 0
Not Satisfied
Row 0, Column 1
So so
Row 0, Column 2
Average
Row 0, Column 3
Good/Proud
Row 0, Column 4
Exceptional
Row 0, Column 5
N/A
Row 1, Column 0
Not Satisfied
Row 1, Column 1
So so
Row 1, Column 2
Average
Row 1, Column 3
Good/Proud
Row 1, Column 4
Exceptional
Row 1, Column 5
N/A
Row 2, Column 0
Not Satisfied
Row 2, Column 1
So so
Row 2, Column 2
Average
Row 2, Column 3
Good/Proud
Row 2, Column 4
Exceptional
Row 2, Column 5
N/A
Row 3, Column 0
Not Satisfied
Row 3, Column 1
So so
Row 3, Column 2
Average
Row 3, Column 3
Good/Proud
Row 3, Column 4
Exceptional
Row 3, Column 5
N/A
Row 4, Column 0
Not Satisfied
Row 4, Column 1
So so
Row 4, Column 2
Average
Row 4, Column 3
Good/Proud
Row 4, Column 4
Exceptional
Row 4, Column 5
N/A
Row 5, Column 0
Not Satisfied
Row 5, Column 1
So so
Row 5, Column 2
Average
Row 5, Column 3
Good/Proud
Row 5, Column 4
Exceptional
Row 5, Column 5
N/A
Row 6, Column 0
Not Satisfied
Row 6, Column 1
So so
Row 6, Column 2
Average
Row 6, Column 3
Good/Proud
Row 6, Column 4
Exceptional
Row 6, Column 5
N/A
Row 7, Column 0
Not Satisfied
Row 7, Column 1
So so
Row 7, Column 2
Average
Row 7, Column 3
Good/Proud
Row 7, Column 4
Exceptional
Row 7, Column 5
1
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10
Did you receive Feedback from your Supervisor?
*
This field is required.
Yes
No
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11
Additional comments and suggestions for company
*
This field is required.
6
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