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English (US)
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Driver Evaluation Form
Call Details
Date & Time
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Month
-
Day
Year
Date Picker Icon
1
2
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4
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8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Type of Call
Please Select
Code 1
Code 2
Code 4
Code 9
Local Mitzvah Transport
Additional details on the call (per instructor discretion)
Name of Trainee
Yck
Responders
10
12
13
17
18
22
23
25
26
28
29
33
34
36
37
38
39
40
41
42
43
45
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48
49
51
52
53
54
55
56
57
58
59
60
61
62
65
67
68
70
71
72
73
270
283
291
Other
Instructor Driver
Please Select
74- Chaim Singer
18- Elad Finch
37- Benji Steinhof
60- Yanky Schlimer
12- Matan Nitsky
33- Yona Rabinowitz
17- Levi Freidman
54- Philip Baron
49- Nesanel Eiseman
52- Yisroel Sher
Driving Skills (Rate the driver from 1 - 10, with 1 being poor and 10 being great)
A. Driving
Please Select
1
2
3
4
5
6
7
8
9
10
B. Road awareness
Please Select
1
2
3
4
5
6
7
8
9
10
C. Backing Up/ Parking
Please Select
1
2
3
4
5
6
7
8
9
10
Road Skills (Rate the driver from 1 - 10, with 1 being poor and 10 being great)
A. Traffic & Reading the road situation (Maneuvering)
Please Select
1
2
3
4
5
6
7
8
9
10
N/A
B. Speed Suitability
Please Select
1
2
3
4
5
6
7
8
9
10
C. Changing lanes & Turns
Please Select
1
2
3
4
5
6
7
8
9
10
Call Management (Rate the driver from 1 - 10, with 1 being poor and 10 being great)
A. Arrival
Please Select
1
2
3
4
5
6
7
8
9
10
B. Radio protocol (use of correct codes and protocol )
Please Select
1
2
3
4
5
6
7
8
9
10
C. Overall Demeanor
Please Select
1
2
3
4
5
6
7
8
9
10
Overall Evaluation (Rate the driver from 1 - 10, with 1 being poor and 10 being great)
A. Overall rating of trainee:
Please Select
1
2
3
4
5
6
7
8
9
10
B. Overall Behavior of Trainee? (10 is super calm, 1 is freaking out)
Please Select
1
2
3
4
5
6
7
8
9
10
List something the trainee did very well
List something the trainee could have done better
Additional Comments
Submit
Should be Empty: