Home Care Clinical Staff Evaluation Survey-Jennifer Clifton

Building Trust
Please rate the employees ability to build trust with patients/families and co-workers

Excellent  
Above Average  
Average  
Opportunity to Improve  

Clinical Competency
Please rate the employee's clinical competency and quality of patient care

Excellent  
Above Average  
Average  
Opportunity to Improve  

Communication Skills
Please rate communication skills

Excellent  
Above Average  
Average  
Opportunity to Improve  

Contributing to Team Success
Please rate the employee's contributions to team success

Excellent  
Above Average  
Average  
Opportunity to Improve  

Critical Thinking Skills
Please rate critical thinking skills

Excellent  
Above Average  
Average  
Opportunity to Improve  

Interpersonal Relationships
Please rate interpersonal relationships

Excellent  
Above Average  
Average  
Opportunity to Improve  

Leadership
Please rate this employee's leadership skills

Excellent  
Above Average  
Average  
Opportunity to Improve  

Service Excellence
Please rate service excellence skills

Excellent  
Above Average  
Average  
Opportunity to Improve  

Comments related to Building Trust
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Comments related to Clinical Competency
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Comments related to Communication Skills
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Comments related to Contributing to Team Success
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Comments related to Critical Thinking Skills
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Comments related to Interpersonal Relationships
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Comments related to Leadership Skills
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Comments related to Service Excellence
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Comments related to Time Management
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