Healthcare Professional Appraisal Form
Personal Information
Full Name
Position/Title
Department
Date of Appraisal
Appraiser's Name
Professional Skills Assessment
Skill/Area
Rating (1-5)
Comments
Clinical Knowledge
1
2
3
4
5
Patient Care
1
2
3
4
5
Communication
1
2
3
4
5
Teamwork
1
2
3
4
5
Professionalism
1
2
3
4
5
Achievements
Areas for Development
Appraiser's Overall Feedback
Agreed Action Plan & Goals
Signatures
Appraisee Signature
Date
Appraiser Signature
Date