2. 
   City of Framingham – Mid-Summer Intern Performance Survey
   Supervisor Assessment Form
   Confidential

   Please complete the following survey to help us assess intern progress and provide timely support if necessary. Your feedback is essential to their development and program improvement.

   Instructions:
   Rate each statement on a scale of 1 to 5.

   • 1 = Needs Improvement
   • 2 = Fair
   • 3 = Satisfactory
   • 4 = Good
   • 5 = Excellent

   
   

4. Intern Information:
6. Intern Name:*
7. Supervisor Name:*
9. Department: *
11. Performance Evaluation
13. 1. Attendance and Punctuality*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
14. Comments:
16. 2. Professionalism (demeanor, attire, communication)*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
17. Comments:
19. 3. Willingness to Learn / Take Feedback*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
20. Comments:
22. 4. Quality of Work Completed*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
23. Comments:
25. 5. Communication Skills (written & verbal)*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
26. Comments:
28. 6. Initiative / Self-Motivation*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
29. Comments:
31. 7. Teamwork / Collaboration with Staff*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
32. Comments:
34. 8. Dependability and Follow-Through*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
35. Comments:
37. Overall Assessment
39. 9. Overall Performance at Midpoint*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
40. Comments:
42. 10. Would you recommend this intern for future opportunities within your department or city programs?*

    1. Yes
    2. No
    3. Unsure
44. Additional comments or suggestions for improvement:
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field