PROFESSIONAL BEHAVIOR EVALUATION
Student=s
Name:_____________________________________________________________________________
Date of
evaluation:___________________________________________________________________________
1. INTEGRITY
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Consistent honesty; being able to be trusted with
the property of others; can be trusted with confidential information; complete and accurate documentation of
patient care and learning activities.
2. EMPATHY
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Showing compassion for others; responding
appropriately to the emotional response of patients and family members; demonstrating respect for others;
demonstrating a calm, compassionate, and helpful demeanor toward those in need; being supportive and
reassuring to others.
3. SELF - MOTIVATION
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking
initiative to improve and/or correct behavior; taking on and following through on tasks without constant supervision;
showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care
and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning
opportunities
4. APPEARANCE AND PERSONAL HYGIENE
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Clothing and uniform is appropriate, neat, clean
and well maintained; good personal hygiene and grooming.
5. SELF - CONFIDENCE
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal
judgement; demonstrating an awareness of strengths and limitations; exercises good personal judgement.
6. COMMUNICATIONS
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening
actively; adjusting communication strategies to various situations
7. TIME MANAGEMENT
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Consistent punctuality; completing tasks and
assignments on time.
8. TEAMWORK AND DIPLOMACY
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Placing the success of the team above self
interest; not undermining the team; helping and supporting other team members; showing respect for all team
members; remaining flexible and open to change; communicating with others to resolve problems.
9. RESPECT
Competent [ ]
Not yet competent [ ]
Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or
demeaning terms; behaving in a manner that brings credit to the profession.
