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. TEAMWORK/INTERPERSONAL ABILITIES______ Motivates and develops enthusiasm in the group.______ Strives to create an environment that encourages teamwork and good morale.______ Demonstrates recognition and support of the doctor and other employees.______ Cooperates with others to facilitate efficiency and productivity.______ Willingly considers others ideas and new methods.______ Maintains a calm and positive outlook in stressful situations.______ Pursues cross training and demonstrates a willingness to work in other areas of

the practice, upon request, to ensure efficient, high quality workflow.COMMENTS:G. INITIATIVE & SELF-MANAGEMENT______ Resourceful and innovative in working out solutions to problems as they arise.______ Performs effectively with minimal supervision.______ Aware of, and attentive to, office policies and procedures.______ Able to make decisions with goals of the practice in mind.______ Initiates action, acquires needed information/resources, and follows through oncompletion of assigned tasks.______ Plans and organizes daily work in a systematic way, setting proper priorities.______ Completes assignments in a timely manner, striving to meet deadlines.

______ Strives to acquire more knowledge/skills needed to increase productivity andcontribution to the practice.______ Accepts and accurately assesses instructional feedback (training information,constructive criticism, etc.) in order to improve performance.COMMENTS:H. LEADERSHIP______ Capable of directing and coordinating an assignment/project.______ Capable of supervising others.______ Encourages and stimulates practical and original ideas from others.______ Delegates authority and responsibility fairly and appropriately.COMMENTS:

I. ORGANIZATION______ Works in an orderly and organized fashion, with a neat workspace.______ Proficiently handles more than one project at a time.______ Functions adeptly in spite of an often hectic/unpredictable environment.______ Adapts to changing work situations and priorities.COMMENTS:J. PATIENT SATISFACTION & COMFORT______ Telephone manner is cheerful, interested, courteous, and tactful.______ Strives to welcome patients and to meet their needs in a positive and responsivemanner.______ Does not engage in idle activities/conversations excessively or inappropriately in

the presence of patients.______ Demonstrates a commitment to quality service and care.______ Takes pride in and contributes to the attractive and clean appearance of theoffice.COMMENTS:K. PERSONAL______ Maintains clean, neat, and professional appearance.______ Complies with office dress policy.______ Strives to present a professional manner.______ Does not allow personal affairs to interfere with performance in the office.

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7/31/2019 Job Dimensions Description

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COMMENTS:OVERALL STRENGTHS: What are the employee's strengths? Has the employee met goals setduring last evaluation?IMPROVEMENTS NEEDED: In what specific ways must the employee improve performance?PLANNED GOALS: What goals should the employee plan to meet for the next appraisalmeeting?I have read and understand the contents of this evaluation. I understand my signature onlyindicates receipt of this evaluation and that I have thirty days to attach my comments.

Employee Signature:Reviewer Signature:Date of Review:

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