Peer Review Evaluation
Rating scale:
1 = Unsatisfactory
2 = Requires improvement
3 = Meets standards
4 = Exceeds expectations
5 = Outstanding

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Email *
Reviewer’s name:
Reviewee’s name:
Date of review:
MM
/
DD
/
YYYY
Place of review:
Reviewer’s email:
What is your assessment of your coworker's understanding of the standards of Article VIII, Section 31 of the Church Manual?: a member of The Mother Church who represents himself or herself as a Christian Science nurse shall be one who has a demonstrable knowledge of Christian Science practice, who thoroughly understands the practical wisdom necessary in a sick room, and who can take proper care of the sick. Rate:
Unsatisfactory
Oustanding
Clear selection
How would you rate your coworker’s spiritual approach when dealing with patients? Rate:
Unsatisfactory
Oustanding
Clear selection
How would you rate your coworker’s spiritual approach to dealing with conflicts within the workplace? Rate:
Unsatisfactory
Oustanding
Clear selection
How would you rate your coworker’s spiritual approach when dealing with patients? Rate:
Unsatisfactory
Oustanding
Clear selection
What do think of your coworker’s ability to assess a patient’s care and recommend ideas that support proper care? Rate:
Unsatisfactory
Oustanding
Clear selection
What do you think of your coworker's ability to provide care that is complete and proper? Rate:
Unsatisfactory
Oustanding
Clear selection
Do you think that your coworker understands the nature and value of patients' bills of rights, and bills of privacy? Rate:
Unsatisfactory
Oustanding
Clear selection
Is your coworker using proper lifting techniques when working with patients? Rate:
Unsatisfactory
Oustanding
Clear selection
Is your coworker getting the patient’s house and atmosphere ready before starting care? Rate:
Unsatisfactory
Oustanding
Clear selection
Is your coworker cleaning and maintaining the patient’s house tidy aftercare? Rate:
Unsatisfactory
Oustanding
Clear selection
Are you satisfied with the way your coworker give showers to patients? Rate;
Unsatisfactory
Oustanding
Clear selection
A copy of your responses will be emailed to the address you provided.
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