Weighted Evaluation Form

WEIGHTED TRAIT EVALUATION FORM
Name: _______________________________________________________________________
Job Title: _____________________________________________________________________
Supervisor: ___________________________________________________________________
Review Period: From _______ To _______
Purpose of Interview: __ Introductory __ Annual Performance __ Other: ________
Score the performance in each job factor below on a scale of 5 - 1, as follows:

 5 = Outstanding, consistently exceeds this job factor expectations and is
recognized by peers and/or constituents as a leader and positive example for
others.
 4 = Above Expectations, consistently meets and occasionally exceeds this job
factor expectations.
 3 = Meets Expectations, consistently meets this job factor expectations.
 2 = Below Expectations, occasionally fails to meet this job factor expectations.
 1 = Needs Improvement, consistently fails to meet this job factor expectations and
a job performance improvement plan is required.
Section 1 - Job Performance (60% of total score) Score Points

________________________________________________________ ____
________________________________________________________ ____
________________________________________________________ ____
________________________________________________________ ____
Contributions to office goals:______________________________ ____
Quality of work:_________________________________________ ____
Quantity of work:________________________________________ ____
Negotiable Item:_________________________________________ ____
___ x 12=
Average Score =
_ ____
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Score Points
Section 2 - Personal Performance (20% of total score)
Work Ethic ____
Writing Skills ____
Interpersonal Skills ____
Flexibility ____
Communication Skills ____
Teamwork ____
Constituent Service ____
Negotiable Item
____
__________________________________________
___ x 4=
Average Score =
_ ____
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Score Points
Section 3 - Personal Improvement (20% of total score)
Timeliness of work ____
Quality of work ____
Professional growth ____
Developmental goals accomplishment ____
Negotiable Item ______________________________ ____
x 4=
Average Score =
____ ____
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Points from section 1 ____ + section 2 ____ + section 3 ____ =____
Developmental Goals for next review period:

1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
Signatures:
Staff: ________________________________________________ Date: __________________
Staff Comments: ______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Supervisor: ___________________________________________ Date: __________________
Chief of Staff: _________________________________________ Date: __________________
Form provide by the Society for Human Resource Management (and modified by CMF)
1800 Duke Street, Alexandria, Virginia 22314 (703) 548-3440 FAX: (703) 535-6490 Email: [email protected]

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WEIGHTED TRAIT EVALUATION FORM

Score the performance in each job factor below on a scale of 5 - 1, as follows:

Section 1 - Job Performance (60% of total score) Score Points

Points from section 1 + section 2 + section 3 =

Developmental Goals for next review period:

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