Self evaluation form
Self evaluation form
Employee name:
Department:
Position:
Date:
Period of appraisal:
1. What are your main job responsibilities?
2. Which job responsibilities do you view as most important? Why?
3. Have any new responsibilities been added or removed from your job this year? If so, what?
4. Have there been any special circumstances that have helped or hindered you in doing your job this year? If yes, how did they affect your work, and what were the circumstances?
5. List your most significant accomplishments or contributions during the past year. How do these achievements align with the goals/objectives outlined in your last review?
6. Since the last review period, have you performed any new tasks or additional duties outside the scope of your regular responsibilities? If so, please specify.
7. To which of the following factors would you attribute your professional development since last year: offsite seminars/classes, onsite training, peer training, on-the-job experience, better exposure to challenging projects, other. Please describe.
8. What would help you to do your job better and provide greater job satisfaction?
9. What are your goals for next year and what action will you take to accomplish these goals?
10. What could your supervisor/manager do to support you in doing your job?
11. What additional support from your organization would help you do your job more effectively?
12. What recommendations do you have that would make this a better place to work?
13. Indicate your career interests, including the type of assignment you would like next.
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