What is your name?

What is your department?

What is your job title?

Who is your supervisor?

When was your last performance review?

I complete my work within agreed timeframes and specifications. I never miss a deadline or delay a project.

I communicate well and clearly.

I am committed and passionate.

I accomplished all of the goals listed in my last performance review.

And what goals would you like to set yourself for the coming evaluation period?

Finally, what is your email address?

Thank you for your feedback.