- Sample Form -
Non-Management Annual
Performance Review
This is an example form used by one of our
customers. If you would like us to send you
the editable Word document, please
contact info@halogensoftware.com
Employee Information
Employee
Name:
Job Title:
Department:
Hire Date:
Division:
Last Review
Date:
Reviewing
Supervisor:
Member Focus
Consider the employee's level of excellence in providing World Class Service to Members and employees by meeting
and/or exceeding their expectations. Rate the extent to which the employee responds to Member and employee
needs with courtesy, friendliness, concern and accuracy. Characteristics to consider: shows enthusiasm and passion
in performing job, exhibits caring and compassionate behavior in interactions with Members and employees, has trust
and respect of Members/employees. Results to evaluate: observations of service provided, Member comments
and/or letters, comments from others, internal recognition, awards, listening skills, and is comfortable with
contact/interaction.
Far Exceeds Performance Standards: Always considers Members to be the highest priority along with serving the
employees to provide the highest level of service excellence to the Members. Frequently recognized for going above and
beyond to meet the needs of the Members and employees. Exceeds the expectations of Members and/or employees.
Exceeds Performance Standards: Considers Members to be the highest priority along with serving the employees to provide
the highest level of service excellence to the Members. Communicates with Members and/or employees to meet and even
exceed realistic expectations. Consistently goes above and beyond by demonstrating service excellence.
Meets Performance Standards: Considers Members to be a high priority along with serving the employees to provide the
highest level of service excellence to the Members. Ensures that Members' and employees' needs and expectations are
fully met. Assignments are adequately