Personal Impact & Insights

PERSONAL ONLINE ASSESSMENT FORM

Team Member

Employee Name

Employee Email Address

1. How would you rate your productivity during this review period Jan to Dec 2024? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

2. How would you rate your quality during this review period Jan to Dec 2024? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

3. How would you rate your attendance during this review period Jan to Dec 2024? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

4. How would you rate yourself as a team player during this review period Jan to Dec 2024? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

5. How would you rate yourself on team meetings during this review period Jan to Dec 2024? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

6. How would you rate yourself on written and verbal communications during this review period Jan to Dec 2024? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

7. How satisfied are you with your current role? (1 - Not Satisfied, 5 - Very Satisfied)

PoorFairGoodVery GoodExcellent

8. What aspects of your job do you enjoy the most?

9. What areas of your job do you find challenging or unsatisfactory?

Work Environment

1. How would you rate the overall work environment? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

2. Do you feel valued and respected at work? Why or why not?

3. Are there any workplace improvements you would suggest?

4. How would you rate the support from your Team leader? (1 - Poor, 5 - Excellent)

PoorFairGoodVery GoodExcellent

5. What can management do to better support you?

We strive to enhance the lives of Providers and have a lasting and positive impact by alleviating the burden of billing and associated administration and risks.

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(854) 246-8650
support@sagehealthy.com
1095 Nimitzview Drive
Suite 103-A,
Cincinnati, OH 45230

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