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Employee Rating Response

Employee:

Date:

Performance Evaluation Dated:

1. I have discussed with my supervisor the evaluation of my past performance.

2. I [Name] agree [Enumerate] do not agree with [Name] all [Enumerate] some of the conclusions reached, because: [Enumerate].

3. I feel that my performance review fair and impartial, because: [Enumerate].

4. If I could make changes or improvements in my work, or Company policies, I would suggest: [Enumerate].

Signature

Date:

Employee

Signature

Date:

Supervisor

Signature

Date:

Evaluator