1. NAME_______________________________
Career Action Worksheet 19-1
Job Performance Evaluation
Directions: Rate your job performance in your current or past work experience, in volunteer or internship
work, or in another significant task-oriented activity. In the space to the left of each Performance or
Behavioral Category, place the rating code you think most appropriately represents your performance (O =
Outstanding, V = Very good, G = Good, A = Acceptable, U = Unacceptable). In the space below each item,
give one or two examples of your performance. Then highlight the items you rated acceptable or
unacceptable; make these your targets for improvement.
Rating Code Performance or Behavioral Category
ABILITY TO ACQUIRE AND USE INFORMATION AND FOLLOW
INSTRUCTIONS
(Uses initiative in acquiring, interpreting, and following instructions and using
references)
List specific examples:
INTERPERSONAL SKILLS
(Is tactful, understanding, and efficient when dealing with people)
List specific examples:
BASIC SKILLS
(Is proficient in reading, writing, mathematics, listening, and verbal and nonverbal
communication)
List specific examples:
JOB SKILLS
(Demonstrates command of required knowledge and skills)
List specific examples:
Your Career: How to Make It Happen 1
Career Action Worksheet 19-1: Job Performance Evaluation
COPYRIGHT © Thomson South-Western

2. THINKING/PROBLEM-SOLVING SKILLS
(Generates new ideas, makes decisions, solves problems, and reasons logically)
List specific examples:
ABILITY TO COOPERATE WITH OTHERS
(Works well with team members and under supervision, exercises leadership, and
works well with people of diverse backgrounds)
List specific examples:
QUANTITY OF WORK
(Does required amount of work)
List specific examples:
QUALITY OF WORK
(Does neat, accurate, complete, and efficient work)
List specific examples:
GOOD WORK HABITS
(Maintains good attendance and punctuality, is dependable, and follows safety/work
procedures)
List specific examples:
Continued on the next page
Your Career: How to Make It Happen 2
Career Action Worksheet 19-1: Job Performance Evaluation
COPYRIGHT © Thomson South-Western

3. ATTITUDE
(Demonstrates enthusiasm, interest, and motivation)
List specific examples:
TECHNOLOGY
(Works well with technology—tools, computers, and procedures)
List specific examples:
PERSONAL QUALITIES
(Demonstrates responsibility, initiative, self-confidence, integrity, and honesty;
practices good self-management; sets and maintains goals; exhibits self-motivation;
and is cooperative)
List specific examples:
OVERALL EVALUATION OF PERFORMANCE AND BEHAVIOR
Directions: Review the rating code (Outstanding, Very good, Good, Acceptable, or Unacceptable) you
placed next to each category of your Job Performance Evaluation on the previous pages. Place a check mark
below next to the rating you recorded the most frequently.
______ Outstanding ______ Very good _______ Good _______ Acceptable ______ Unacceptable
Continued on the next page
Your Career: How to Make It Happen 3
Career Action Worksheet 19-1: Job Performance Evaluation
COPYRIGHT © Thomson South-Western

4. Employee’s Short-Term Goals: (List your short-term job or career goals here.)
Employee’s Long-Term Goals: (List your long-term job or career goals here.)
Suggestions for Improving Performance or Behavior: (List the steps you can take to improve your
work performance or behavior.)
General Comments Regarding Employee’s Job Performance: (Add any other appropriate
comments to describe the quality of your work performance.)
Signature of Supervisor: (This is where your job supervisor would sign your performance evaluation.)
Signature of Employee: (This is where you would sign the performance evaluation.)
Date:
Your Career: How to Make It Happen 4
Career Action Worksheet 19-1: Job Performance Evaluation
COPYRIGHT © Thomson South-Western