Individual Self-Assessment Form

Individual Self-Assessment Form

Please complete this form to reflect on your performance, skills, and career goals.

Employee Information

Name

    Job Title

      Assessment Date

        Assessment

        Please rate yourself on a scale of 1 to 5, where 1 = Needs Improvement and 5 = Excellent.

        Technical Skills

          Communication Skills

            Teamwork and Collaboration

              Leadership Skills

                Problem-Solving Skills

                  Time Management

                    Adaptability and Flexibility

                      Customer Service

                        Innovation and Creativity

                          Work Ethic and Reliability

                            Strengths

                            Please list your top three strengths:

                              Weaknesses

                              Identify two areas where you feel you need improvement and suggest steps you plan to take:

                                Goals

                                Short-Term Goals

                                  Action Plan

                                    Long-Term Goals

                                      Action Plan

                                        Additional Information

                                        Feedback on Current Role

                                        What do you enjoy most about your current role?

                                          Are there any aspects you find challenging?

                                          If yes, please describe:

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                                            Thank you for completing this form!

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