| |
Competent
|
Ready To Train
Others
|
Needs Help
|
| ATTITUDE |
|
|
|
* Sensitivity to clients' needs
|
________
|
________
|
________
|
* Positive client outreach
|
________
|
________
|
________
|
* Cooperation with other staff
|
________
|
________
|
________
|
* Cooperation with doctors
|
________
|
________
|
________
|
* Willingness to share skills
|
________
|
________
|
________
|
* Ability to teach others
|
________
|
________
|
________
|
* Eagerness to learn
|
________
|
________
|
________
|
* Overall job attitude
|
________
|
________
|
________
|
| EFFICIENCY & PROFESSIONAL SKILLS |
|
|
|
* Ability to communicate with staff
|
________
|
_________
|
________
|
* Ability to communicate with clients
|
________
|
_________
|
________
|
* Telephone courtesy
|
________
|
_________
|
________
|
* Ability to coordinate veterinarian(s)
|
________
|
_________
|
________
|
* Work station organization
|
________
|
_________
|
________
|
* Ability to stay productive
|
________
|
_________
|
________
|
- even when it is a slow day
|
________
|
_________
|
________
|
* Accuracy of reported information
|
________
|
_________
|
________
|
* Medical record control
|
________
|
_________
|
________
|
* Knowledge of terminology
|
________
|
_________
|
________
|
* Accuracy of daily receipts
|
________
|
_________
|
________
|
* Ability to learn new skills
|
________
|
_________
|
________
|
| DEPENDABILITY |
|
|
|
* Punctuality
|
________
|
_________
|
________
|
* Attendance
|
________
|
_________
|
________
|
* Individual job tasks
|
________
|
_________
|
________
|
* Pursuit of personal targets
|
________
|
_________
|
________
|
* Support of practice goals
|
________
|
_________
|
________
|
AREAS OF EMPLOYEE STRENGTHS: ___________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
TARGET AREAS FOR PERSONAL ACTION: ____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
OTHER COMMENTS BY THE EMPLOYEE: ____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
_____________________________
Staff Member Receipt of Copy |
________
Date |
___________________________
Mentor's Signature |
________
Date |
Courtesy of Veterinary Practice Consultants, Catanzaro & Associates - Phil Seibert and Thom Haig