Evaluatee: __________________________ Date: _______________________________

Position: __________________________ Department: HH Managed Care______

3 - MEETS
1 - UNACCEPTABLE 2 - NEEDS IMPROVEMENT 4 - EXCEEDS EXPECTATION
EXPECTATION
1 Demonstrates a good understanding of the job, guidelines, and procedures
2 Directly answers and addresses all aspects of the questions and does not require probing
3 Answers the question/s and explains concisely and clearly
4 Answers accurately that is related to the question
5 Delivers answers with confidence and speaks with conviction
6 Maintains good pacing (not too fast nor too slow in speaking)
7 Pronounces and articulates words clearly
8 Uses good grammar
9 Uses appropriate voice level
10 Shows courtesy and respect consistently. (No rude and offensive words spoken)

Strengths: Weakness:
PASSED: FAIL:
Evaluated by: ______________________________________________________________
Name and Signature