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Clinical: Employee Self Evaluation
Please rate your performance.
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Email
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Your email
First and Last Name
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Your answer
Position:
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Your answer
Date of Self-Evaluation
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MM
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YYYY
Customer service, patient interactions, and meeting patient goals. Scheduled visits are timely with minimal missed visits.
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Unacceptable
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Exceptional
Accountability for following state & federal regulations, policies, and procedures. Observes ethical and professional conduct at all times i.e respect and punctuality. Integrity in timekeeping, patient visits, and documentation.
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Unacceptional
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Exceptional
Performs clinical skills accurately, effectively, and competently. Adjusts and modifies provision of care based on patient's needs.
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Unacceptable
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5
Exceptional
Observes proper chain of command in reporting referral system. Shows willingness to perform assigned tasks. Verbalizes own strengths, weaknesses, and limitations.
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Unacceptable
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Exceptional
Utilizes critical thinking and sound decision making. Manifests effective time management and workload organization to facilitate patient care.
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Unacceptable
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5
Exceptional
What are your short-term goals at Affinity?
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Your answer
What are your long-term goals at Affinity?
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Your answer
Other Comments/Suggestions:
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