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This employee self-assessment form can be used by employees to reflect on and evaluate their performance over time. In addition, they provide information about which tasks they have mastered in which way, in which areas they would like to improve and which support they would like from the employer. The self-assessment is part of a feedback interview and a good supplement to the employee appraisal by the supervisor.
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Is there anything about your work that you would like to change?
What could your supervisor(s) do to help you be more successful in your work?
What feedback or suggestions do you have to improve your team and/or department?
Performance vs. Successes
What were your most important work-related achievements? (projects, tasks, new skills or knowledge gained, etc.)
How are these achievements linked to your key responsibilities and aims for you and your team/department?
What actions have you taken to meet your responsibilities?
What didn’t you finish that you had intended on accomplishing? Why?
What could you have done better?
What are your main strengths?
In which areas is there potential for improvement?
What are your goals for the next appraisal interview?
How will you reach these goals?
Do you need additional resources to achieve these goals?
How can your unit help you reach your goals?
What training courses have you participated in?
What additional education or training would help you improve your job performance?
Do you need additional resources or training for your job?
How can your supervisor help you work more effectively and support your goals?
Full name and signature of the employee:
Full name and signature of the supervisor:
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
Please, finish the registration to access the content of the checklist.