Here we provide a condensed but fully functional template that can be adapted for your company:
BLOCK 1: Employee and Evaluation Period Information
`` Employee Name: ___________________________ Position: _____________________________ Department/Team: __________________________ Manager: ______________________________ Evaluation Period: from __________ to __________ Completion Date: __________________________ ``
BLOCK 2: Employee Self-Assessment
Instructions for employee: please evaluate your results and behavior during the evaluation period. This will help you and your manager have a constructive discussion.
On goal achievement:
- Which goals do you believe you achieved at 100% or more?
- Which goals presented difficulties? Why?
- What went well for you in this period?
- Where do you see opportunities for improvement?
On competencies: Rate yourself on each competency using a 5-point scale (1 to 5):
Competency 1 (Leadership): ___
Competency 2 (Communication): ___
Etc.
BLOCK 3: Goal Achievement
| Goal | Planned Result | Actual Result | Rating (1–5) | Comment |
BLOCK 4: Competency Evaluation with Behavioral Indicators
Example: Leadership
5 points: Demonstrates exceptional vision, inspires the team, makes strategic decisions, actively develops leaders in the team
4 points: Shows leadership qualities, motivates the team, makes sound decisions, develops individual employees
3 points: Executes leadership role at a basic level, manages current work, makes tactical decisions
2 points: Shows initiative occasionally but often waits for direction, management is ineffective
1 point: Shows no leadership qualities, avoids responsibility
Manager Rating: ___ Justification: ___________________________
BLOCK 5: Development Plan for Next Period
| Development Area | Action | Timeline | Owner | Success Metric |
BLOCK 6: Overall Rating and Signatures
Overall Rating on 5-point scale: ___
Manager Signature: _________________ Date: _______ Employee Signature: ________________ Date: _______
In 3 sessions of the Performance Review Form course, you will:
✅ Create a set of 12 performance review forms suitable for any situation.
✅ Gain access to a library of 170+ ready-to-use phrases.
✅ Launch your company's review cycle with a clear calendar, defined roles, and measurable metrics.