Form for Personal Assessment and Improvement Plan for Success as a Phlebotomy Technician Personal Characteristics Personal Rating Plan for Improvement 1 = poor 2 = foir, but needs improvement 3 = good 4 = excellent 1. Professional attitude 2. Ability to behave in a professional manner in the phlebotomy workplace 3. Professional dress/attire 4. Appropriate workplace grooming 5. Initiative 6. Responsibility 7. Ability to be an effective team member 8. Ability to adapt to change 9. Knowledge and skills in phlebotomy topics 10. Knowledge of medical/phlebotomy terminology and abbreviations 11. Customer service 12. Ethics in the workplace 13. 14 15. 16. 17