Flexible Work Trial Period Evaluation Form
Employee Name
Position/Department
Supervisor Name
Evaluation Date
Flexible Work Arrangement Type
Trial Period Start Date
Trial Period End Date
Evaluation Criteria
1. Work Quality
2. Communication & Collaboration
3. Timeliness & Attendance
4. Accountability & Productivity
5. Other Comments
Summary & Recommendation
Overall Assessment
Successful
Needs Improvement
Unsuccessful
Recommendation
Continue Flexible Work
Extend Trial Period
Revert to On-site work
Other
If "Other", please specify
Supervisor Signature
Date