PERSONAL EVALUATION

This evaluation is for the purpose of taking a look at and reflecting on your own courtesy and professional skills. Hopefully, this will help you be aware of and improve in those areas that may need some tweaking.

How do you rate your professional courtesy skills?

1. Poor
2. Fair
3. Good
4. Great

How do you rate your courtesy quotient?

1. Poor
2. Fair
3. Good
4. Great

Do you consider yourself to be a good listener?

1. Poor
2. Fair
3. Good
4. Great

Do you consider yourself to be a kind person to your co workers and friends?

1. Poor
2. Fair
3. Good
4. Great

Are you a critical person?

1. Poor
2. Fair
3. Good
4. Great

PERSONAL EVALUATION, continued

Do you gossip or participate in spreading gossip?

1. Poor
2. Fair
3. Good
4. Great

Are you a positive person?

1. Poor
2. Fair
3. Good
4. Great

Do you shake hands and introduce yourself to your patients?

1. Poor
2. Fair
3. Good
4. Great

Do you make good eye contact when speaking to co workers and patients?

1. Poor
2. Fair
3. Good
4. Great

Do you consider yourself to be a good team player?

1. Poor
2. Fair
3. Good
4. Great

Do you welcome new staff members?

1. Poor
2. Fair
3. Good
4. Great

Do you have a “not my job” mentality at work?

1. Poor
2. Fair
3. Good
4. Great

RATE YOUR OFFICE PRACTICE

How do you rate the general feel of your practice?

1. Poor
2. Fair
3. Good
4. Great

Do you think your patients perceive your office to be courteous?

1. Poor
2. Fair
3. Good
4. Great

Is your office welcoming to new staff members?

1. Poor
2. Fair
3. Good
4. Great

What improvements do you feel could be made to improve the courtesy and general tone of your of your practice?