DOH - SPMS Form 2 Document Code:

DIVISION PERFORMANCE COMMITMENT AND REVIEW (DPCR) Revision No:.

Effectivity:
I,___________________________, Division Chief of the ____________________________________, commit to deliver and agree to be rated on the attainment of the following targets in accordan
indicated measures for the period _______________ to __________________, 20_____.

Name of Division Chief Date: _______________

Approved By: Date

Name of Supervisor
RATING
Actual Accomplishment Rate
Section Actual
Strategic Goals and Objectives Success Indicator (Target + Measure) Alloted Budget (Actual Accomplishment + Q E T A
Accountable Accomplishment
Target x 100%) (1) (2) (3) (4)
Core Functions

Average Rating (Core Functions)

Support Functions

Average Rating (Support Functions)

Strategic Functions

Average Rating (Strategic Functions)

Rating
Final Rating per
Average Remarks
Function (Average
Function Percentage Distribution Rating per Final Average Rating Adjectival Rating
Rating x Percentage
Function
Distribution
Core Functions 50%
Support Functions 10%
Strategic Functions 40%
Discussed With: Assessed by: Final Rating by:

Employee Supervisor Next Higher Supervisor

Legend: 1- Quantity 2 -Efficiency 3 - Timeliness 4 - Average* In the event that there is no strategic output, the percentage distribution is as follows: Core output-80% and Support Output - 20%
__________, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the

Date: _______________

Date

Remarks/Justification
of Unmet Targets (use
separate sheet if
needed)

Remarks

Date

egic output, the percentage distribution is as follows: Core output-80% and Support Output - 20%
DOH - SPMS Form 3 Document Code:
SECTION PERFORMANCE COMMITMENT AND REVIEW (SPCR) Revision No:.
Effectivity:

I, NAME OF SECTION/UNIT CHIEF , unit head of the (Name of Unit under what Department), commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated
measures for the period (Date Period Covered).

Name of Section Chief: Date:

Approved by: Date:

NAME OF SUPERVISOR
RATING
Accomplishment Rate
Q E T A Remarks /
Success Indicator (Target + (Actual
Strategic Goals and Output Individual Accountable Actual Accomplishment Justifications of
Measure) Accomplishment ÷
Unmet Targets
Target x 100%) (1) (2) (3) (4)

Core Functions

Average Rating (Core Functions)

Support Functions

Average Rating (Support Functions)

Strategic Functions

Average Rating (Strategic Functions)

RATING

Final Rating per Function (Average

Function Percentage Distribution* Average Rating per Function Final Average Rating Adjectival Rating Remarks
Rating x Percentage Distribution)

Core Functions 50%

Support Functions 10%
Strategic Functions 40%
Discussed with: Assessed by: Date Final Rating by: Date
I certify that I disussed my assessment of the
performance with the employee

Employee Supervisor Next Higher Supervisor

Legend: 1 - Quality 2-Efficiency 3 - Timeliness 4 - Average; *In the event that there is no strategic output, the percentage distribution is as follows: Core output - 80% and Support output - 20%
DOH - SPMS Form 4 Document Code:
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) Revision No:.
Effectivity:

I,__________________________, of the ____________________, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period _______________ to
_______________________, 20___,

Name of Employee: Date: _______________

Approved By: Date

Name of Supervisor
RATING
Success indicator Remarks/Justification of Unmet
Output Actual Accomplishment Q E T A Targets
(Target + Measure)
(1) (2) (3) (4)
Core Functions

Average Rating (Core Functions)

Support Functions

Average Rating (Support Functions)

Strategic Functions

Average Rating (Strategic Functions)

RATING
Final
Average Rating per Final Rating per Function (Average Rating x Adjectival
Function Percentage Distribution Average Remarks
Function Percentage Distribution) Rating
Rating
Core Functions 50%
Support Functions 10%
Strategic Functions 40%
Comments and Recommendation for Development Purposes
 RATING
Success indicator Remarks/Justification of Unmet
Output Actual Accomplishment Q E T A
(Target + Measure) Targets
(1) (2) (3) (4)
Discussed With: Assessed by: Date Final Rating by: Date
I hereby certify that I discussed my assessment of the Performance with the Employee

Employee Supervisor Next Higher Supervisor

Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average* In the event that there is no Strategic Output the percentage of Distribution is as follows Core Output - 80% and Support Output- 20%
 DOH - SPMS Form - 5
Summary List of Individual Performance Ratings

Name of Office:______________________________Performance Assessment: CY _________

Numerical Rating Final Rating

Division A
January-June July-December Average Adjectival Rating
Numerical Rating
Division A Rating

Employee 1
Employee 2
Employee 3
Employee 4
Employee 5
No. of Employees (Excluding Div. Chief)
Average ratings of staff

Numerical Rating Final Rating

Division A
January-June July-December Average Adjectival Rating
Numerical Rating
Division A Rating

Employee 1
Employee 2
Employee 3
Employee 4
Employee 5
No. of Employees (Excluding Div. Chief)
Average ratings of staff

Numerical Rating Final Rating

Division B
January-June July-December Average Adjectival Rating
Numerical Rating
Division A Rating

Employee 1
Employee 2
Employee 3
Employee 4
Employee 5
No. of Employees (Excluding Div. Chief)
Average ratings of staff

Numerical Rating Final Rating

Division C
January-June July-December Average Adjectival Rating
Numerical Rating
Division A Rating

Employee 1
Employee 2
Employee 3
Employee 4
Employee 5
No. of Employees (Excluding Div. Chief)
Average ratings of staff
Summary: Division A ________________
Division B ________________
Division C ________________

Prepared by: Approved by:

________________________________________ _______________________________
Name and Signature of Administrative Officer Name and Signature of Head of Office
 DOH - SPMS Form - 7

Performance Monitoring and Coaching

Name of Employee/s:_____________________________________________
Position:________________________________________________________
Office/Division:___________________________________________________
Date Conducted
Agreement/Next
Activity Agenda Status/Reality
One-on-one Group Step/Remarks

Monitoring

Coaching

Conducted by: Date

Supervisor Employee

Noted by Date

Next Higher Supervisor

 DOH-SPMS Form 8
Individual Development Plan

Name of Employee
Position
Office/Division

Part A. COMPETENCY ASSESMENT

Description/Critical Incident/Comment
Areas of Strength Area/s for Growth of Performance Gap

Part B. LEARNING AND DEVELOPMENT PLAN

Proposed learning and Development Intervention/s
(Formal Learning/Non Formal Learning/Informal DATE Budget/Resources Needed
Learning)

Prepared by: Date Date:

Supervisor Employee

Noted by: Date:

Next Higher Supervisor