Feedback Social Work Supervisor/Program Manager Evaluation

* Supervisor/Program Manger Name:

Staff feedback is a vital part of the annual evaluation process for leadership positions in the Social Wark and Community Services Department. Your input is important and we welcome your feedback through the following evaluation tool.

Your comments can remain anonymous if you would like but you are encouraged to include your name at the end of the survey so specific concerns can be addressed. The surveys will not be shown to the person being reviewed. Please reply within 7 days. Thank you for your participation. Be sure to click the "Done" box when you have compleled the survey.

Most of the time, if you need to speak to this person, she/he is accessible within a reasonable amount of time.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person respects your opinion and values your experience.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person understands your role within the department, hospital, and community and encourages your collaboration among those systems.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person solicits your initial and ongoing involvement when a new idea, program or learning opportunity is unfolding.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person incorporates the Social work and/or hospital mission and vision into her/his job responsibilities and in her/his work with you.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person shares and encourages professional growth activities (e.g. presentations, research and licensure) in areas tailored to your interest/work.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person completes tasks/assignments according to agreed upon timelines.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
When seeking supervision or guidance from this person, they use both clinical skills and an administrative knowledge base to assist you in determining a plan of action.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
Communication with this person is helpful and effective.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person displays knowledge in their area of expertise.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person's written communication is clear, concise and complete.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person suggests ideas and discovers new and better ways of accomplishing goals.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person exhibits the traits that are considered important for someone in a leadership position.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year
This person makes effective decisions.
 

Strongly Agree
Agree
Disagree
Strongly Disagree
Cannot Asses
Comments
Please check that answer that reflects performance over the past year

General Comments

Your Name: