Employee Self-Evaluation

Answer the following questions by checking the appropriate box to the right. After you have finished answering each question, total the number of checked boxes in each column. Multiply the total of each column by the severity factor for that category. Add together the total of each column. This is your evaluation score. The higher the score, the better your understanding is of your company, its structure and your role in it.

*** Please choose only one check box per question. ***

Below Average (1) | Satisfactory (2) | Above Average (3) | Superior (4)

Shelton Dental Center