Republic of the Philippines

Province of Benguet
Municipality of Mankayan

PERFORMANCE EVALUATION REPORT FORM

EMPLOYEE:
POSITION:

OFFICE:
DIVISION/SECTION:
For

DUTIES AND RESPONSIBILITIES

I agree to achieve these targets for the Rating

to
Period

Signature of Employee

PART II-BEHAVIORAL DIMENSION (30%)

to

QUANTITY
P
A

PERFORMANCE TARGETS
QUALITY
P
A

TIME
P

REMARKS

QLTY

I agree to assist the employee achieve his/her

targets for the said rating period.

Date

QTTY

Signature of Rater

Total
Average Point Score
Equivalent Point Score

TIME

TOTAL

POINT SCORE
A.
B.
C.
D.
E.
F.
G.

Courtesy
Human Relation
Punctuality
Attendance
Initiative
Leadership (For Supervisor/Head of Office only)
Stress Tolerance (For Supervisor and Head of Office

..
..
..
..
..
..
..
TOTAL
..
Average Point Score
..
Equivalent Point Score
..
Overall Point Score I and II
..
Overall Numerical Rating
..
Equivalent Adjectival Rating
..
DISCUSSED WITH:

EMPLOYEES COMMENTS AND REMARKS:

Signature of Ratee

Date

Signature of Rater

Date

Signature of Supervisor

Date

RATERS COMMENTS AND REMARKS: