Use this sample and step by step explanation for setting meaningful and inspiring employee performance goals for a community health outreach worker.

A Community Health Outreach Worker is responsible for providing the medically underserved people with information about health and disease prevention as well as assisting them to adopt a healthy lifestyle. He/she is tasked with making connections and building sustainable relationships with the targeted population and traveling to homes, community agencies, and religious organizations.

Besides that major role, he/she will be tasked with performing other responsibilities like; facilitate and coordinate community health events within the community, conduct health presentations to the community members during outreach programs, attending health-related meetings, organizing and participating in community health training, monitoring and reporting the progress of health programs and keeping health related data.

Employee Performance Goals Sample

Employee's Name: Title:
Review Period: __/__/__ to __/__/__ Employee SSN:
Work Location: Supervisor's Name:


  1. Setting Goals: List specific goals in the space provided below each competency under "Performance Goals". Assign an appropriate timeline for each goal as well as numeric or financial terms to measure the goal.
  2. Employee Comments: The employee must comment next to each goal under "Employee Comments" with "Okay" for goals which he/she feels comfortable working with, and "Needs Clarification" for goals which he/she believes need to be discussed further. An employee who is comfortable with all the goals can sign the goals at this stage.
  3. Summary: Give a summary of the total time estimated for the employee to have achieved the goals. State action plans and specific milestones to track the goals. Any additional comments agreed between the employee and the supervisor should be noted here.
  4. Human Resources Review: Human resources personnel must confirm that the goals are specific, measurable, achievable, relevant, and time-bound. He/she must then sign the goals in the "Human Resource" section provided under "Signatures".
  5. Signatures: When discussion of the goals has been completed and consensus has been reached, sign the goals and let the employee sign too. Send the final copy to the human resources for inclusion in the employee's professional records.

Performance Goals for Next Period

Performance Goals

Employee Comments


Pay attention to employees who are learning new skills to make sure that they know what they are doing and that they have been properly trained

Find people in the community who are proven experts in workplace safety to teach and provide security

[employee comments goal]

Be available to the coworkers, customers, and management and show concern

Respect the company's policy and regulations by becoming reliable and dependable

[employee comments goal]

Feel free to express feelings and desires and encourage others to do the same

Learn good listening and speaking skills in order to communicate effectively with other employees

[employee comments goal]

Limit distractions by working in an area that is free from noise and always put one's phone on silent when paying attention to details of a project

Keep project details into perspective and be ready to get down to a microscopic level if needed

[employee comments goal]

Be punctual and consistent on time to work, meetings and functions

Contribute fresh ideas and suggestions regularly and accept to take risks and new challenges

[employee comments goal]

Establish new policies and procedures for maintaining confidentiality of sensitive information in the company

Look for new tricks and methods to keep oneself on track, both personally and professionally

[employee comments goal]

Seek constant feedback from colleagues and one's superiors and actively work out strategies to improve the weak areas

Reward oneself for objectives that have been accomplished successfully in order to feel motivated to work even harder

[employee comments goal]

Do careful research on own ideas and those of one's competitors in order to make sure that any claims one makes can be verified

Give an example of a context where own ideas have been used successfully in order to convince others to support the ideas

[employee comments goal]

Lead by example; show others how to be open, thoughtful, and nonjudgmental in all situations

Try new social activities in order to meet new people and learn how to use common sense to deal with them

[employee comments goal]

Set clearly defined and achievable goals in order to stay motivated to accomplish them and meet quality standards

Check the final product against the expected results for differences in requirements or any other inconsistencies

[employee comments goal]


Sections 1-2: To be completed by the supervisor

Section 3: To be completed by the employee

1. Goals completed since last performance feedback

2. Goals for next period

3. Employee comments


I acknowledge that I discussed this performance feedback with my supervisor. My signature does not mean that I agree or disagree with this appraisal.
Employee: Date:
Supervisor: Date:
Human Resources: Date:

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