| B. |
Interpersonal Work Relationships
The employee has:
- Shown significant change in relations with co-workers, supervisors, and/or others.
- Engaged in frequent or intense arguments.
- Exhibited verbal abusiveness.
- Exhibited physical abusiveness.
- Often appeared withdrawn or less involved with people.
- Avoided contact with supervisor.
- Frequently expressed frustration or discontent.
- Shown significant change in frequency or nature of complaints.
- Been the subject of complaints by co-workers or subordinates.
- Made cynical, "distrustful of human nature," comments.
- Demonstrated an unusual sensitivity to advice or critique of work.
- Responded unpredictably to supervision. (please specify ___________)
- Exhibited a passive-aggressive attitude or behavior, (i.e., "doing things behind your back").
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| D. |
Personal Matters
The employee has:
- Exhibited changes in or unusual appearance (i.e., dress, hygiene).
- Exhibited changes in or unusual speech (e.g., incoherence, stuttering, volume, or tone).
- Exhibited changes in or unusual physical mannerisms (e.g., gestures, posture).
- Exhibited changes in or unusual level of activity (i.e., much reduced or increased).
- Engaged in unusual topics of conversation.
- Engaged in detailed discussions about death, suicide, or harming someone.
- Become increasingly irritable or tearful.
- Exhibited persistently boisterous or rambunctious behavior.
- Manifested unpredictable or out of context displays of emotion.
- Expressed unusual fears.
- Demonstrated a lack of appropriate caution.
- Engaged in detailed discussion/s about obtaining or using drugs and/or alcohol.
- Experienced personal relationship problems (e.g., with spouse, girl/boyfriend, children, in-laws) that negatively impact work performance (e.g., spending time away from work station, or increasing the number of personal phone calls).
- Made unfounded accusations (i.e., has demonstrated unfounded feelings of persecution and/or paranoia).
- Engaged in secretive or furtive behaviors.
- Exhibited memory problems (e.g., difficulty recalling instructions, data, past behaviors).
- Frequently been sick with colds, flu, or other illnesses.
- Come to work with alcohol on breath.
- Expressed excessive fatigue.
- Made unrealistic self-appraisals or grandiose statements.
- Engaged in temper tantrums or angry outbursts.
- Exhibited a demanding, rigid, inflexible attitude.
- Experienced a major change in physical health.
- Expressed unfounded concerns about sexual behavior or sexual harassment.
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