Self-assessment employee evaluation form checklist

Template Information

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.

Category: general

Template Questions

  • 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?
  • What feedback or suggestions do you have to improve your unit and/or department?
  • Employee (Full Name and Signature)
  • Supervisor (Full Name and Signature)