Company Name

Employee Performance Review

Employee Information

Name	Employee ID
Job Title	Date
Department	Manager
Review Period

Ratings

1 = Poor	2 = Fair	3 = Satisfactory	4 = Good	5 = Excellent
Job Knowledge
Comments
Work Quality
Comments
Attendance/Punctuality
Comments
Initiative
Comments
Communication/Listening Skills
Comments
Dependability
Comments
Overall Rating (average the rating numbers above)

Evaluation

Additional Comments
Goals (as agreed upon by employee and manager)

Verification of Review

By signing this form, you confirm that you have discussed this review in detail with your supervisor. Signing this form does not necessarily indicate that you agree with this evaluation.
Employee Signature	Date
Manager Signature	Date