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Employee Name
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Position
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Date of Hire
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Check-In Date
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Conducted By
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Rate the employee on the following key responsibilities.
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Patient Interaction
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Schedule Management
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X-rays/Modalities
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Team Collaboration
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Office Cleanliness/Flow
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Communication Skills
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Performance Notes
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What accomplishments are you most proud of from the past 6 months?
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What has been most challenging for you in this role?
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What support or training would help you thrive?
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Goal #1
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Focus Area
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Goal
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Deadline
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Support Needed
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Goal #2
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Focus Area
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Goal
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Deadline
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Support Needed
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Goal #3
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Focus Area
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Goal
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Deadline
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Support Needed
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-
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How connected do you feel to the mission and values of our office?
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What could we do better as a leadership team to support your role and growth?
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How would you describe the current team dynamic?
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Leadership Summary
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Any schedule, role, or compensation adjustments?
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Date of next formal review
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