Background and Objectives Volunteer recruitment and management have increasingly emphasized service quality. The Volunteer Service Act stipulates that volunteer service exercisers must regularly evaluate the service performance of individual volunteers. Therefore, methods for conducting volunteer service performance evaluation must be investigated. This study aimed to explore the factors affecting hospital volunteer service performance. Methods A cross-sectional quantitative method was applied. Volunteers at a medical center in Central Taiwan who had completed one year of service were recruited as survey participants. Structured self-administered questionnaires pertaining to the five topics of personal traits, present condition of service, reasons for evaluation, evaluation personnel, and service performance evaluation were distributed, and 135 valid questionnaires were recovered, yielding a 90% effective response rate. Results Female volunteers aged between 50 and 59 years and who received at least a college education were more inclined to support mandatory volunteer evaluation, compared to those in other groups. Volunteers stated that consent to evaluation was based on the objectives of improving service quality and regulating service performance, and approved of receiving evaluation by social workers, patients and families, and peers. Service performance evaluation included volunteer service spirit, compliance with service regulations, service quality output, and interpersonal contact. According to the results of multiple regression analysis, volunteers with higher economic status, volunteers who identified that the purpose of evaluation is to improve service quality, and volunteers who approved of receiving evaluation by social workers, patients and families exhibited positive opinions regarding volunteer service performance evaluation. Conclusion and Suggestions The volunteers generally agreed that service performance evaluations must be conducted, maintaining that evaluations can improve service quality and regulate service performance. Hospital volunteer management units should perform volunteer performance evaluations that include evaluation indicators such as service spirit, compliance with regulations, service effectiveness, and interpersonal relationships. In addition to facilitating the attainment of goals, these evaluations can enable volunteers to provide humane service.