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Home Assist Community Services
133 Adelaide Street Maryborough 07/4123 2234
07 4123 2234
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Staff Self Evaluation and CEO Performance Review
Form Reference Number 9
Staff Member Name
*
Staff Email
*
Overall how would you rate your own performance based on your expectations for the role?
Do you understand your role?
Yes
No
Uncertain
Execution Pursues all work orders, and projects until completion. Follows through on tasks to ensure successful completion.
Yes
No
Managed problems directly, taking action and being decisive.
Yes
No
Mostly
Customer Focus Identifies customer needs and supports consumers to meet or exceed consumer expectations
Yes
No
Mostly
Communicates effectively one-on-one and in groups, while openly sharing knowledge and expertise
Yes
No
Mostly
Responds resourcefully, flexibly, and positively when faced with new challenges and demands. Moves forward productively and optimistically
Yes
No
Mostly
Completes compliments and complaints forms in a timely manner ?
Yes
No
Mostly
Engagement Commits to the mission, vision and objectives of Home Assist and Creates a sense of energy by empowering others and recognizing performance.
Yes
No
Mostly
Relationship Building Contributes to a culture of respect, diversity and inclusion while maintaining strong relationships internally and externally
Yes
No
Mostly
Strategic Thinking Demonstrates understanding of mission, vision, and strategies for business unit, function or region. Maintains the overall big picture of the business and its interrelationships.
Yes
No
Mostly
Field officers ONLY: Do you have the resources you require for next year ?
Yes
No
Not Applicable
Do you require addttional training? ALL STAFF
Yes
No
Please elaborate on the training need
Does the CEO provide you with enough support ?
Yes
No
Add Any comments or suggestions below
Would you like a face to face meeting ?
Yes
No
Choose your preferred time and date. The location for the meeting is Maryborough Office.
2. CEO ONLY :Please indicate the competency in which this individual most excels at, and provide explanation as to why (specific examples are desired).
3. CEO ONLY Please indicate the competency in which this individual should focus on to drive the biggest impact to the organization, and provide explanation as to why (specific examples are desired).
4. CEO ONLY What has this individual accomplished this year that has had the biggest impact on you?
5. CEO ONLY In what way(s) does this individual contribute to overall team objectives and goals?
Date
Submit
Please do not fill in this field.
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