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Self-Assessment

What were your most significant work-related accomplishments? (Include projects, assignments, new skills or knowledge gained.)

How do these accomplishments relate to your key responsibilities and goals for you and your unit/department?

What didn’t you accomplish that you had planned on accomplishing? Why?

What are your goals for the next evaluation period?

How will you accomplish these goals?

What do you need to accomplish these goals?

How can your supervisor help you to work more effectively and support your goals?

How can your team help you achieve your goals?

What additional training or development would help you improve and/or enhance your work performance?

Completion

What feedback or suggestions do you have to improve your unit and/or department?

Employee (Full Name and Signature)
Supervisor (Full Name and Signature)

Self-assessment Employee Evaluation Form Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 32

This self-assessment employee evaluation form can be used by employees to reflect and evaluate their performance over-time. Digital signatures were provided to validate discussion with the supervisor.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

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Audit

Self-Assessment

What were your most significant work-related accomplishments? (Include projects, assignments, new skills or knowledge gained.)

How do these accomplishments relate to your key responsibilities and goals for you and your unit/department?

What didn’t you accomplish that you had planned on accomplishing? Why?

What are your goals for the next evaluation period?

How will you accomplish these goals?

What do you need to accomplish these goals?

How can your supervisor help you to work more effectively and support your goals?

How can your team help you achieve your goals?

What additional training or development would help you improve and/or enhance your work performance?

Completion

What feedback or suggestions do you have to improve your unit and/or department?

Employee (Full Name and Signature)
Supervisor (Full Name and Signature)