Self-Evaluation Form printable pdf download

Self-Evaluation Form

SELF-EVALUATION FORM

This form can be used in lieu of conducting a Self-Assessment based upon specific

performance expectations. This form can be used to generate discussion about general

aspects of the job.

Name: _____________________________ Date: _____________________________

Title: ______________________________ Department: _______________________

Review Period: ______________________

Please complete the questions listed below and return to your supervisor prior to your

performance evaluation. As you complete the form, consider your own personal

performance as it relates to your current job description and expectations for the review

period.

1. Do you understand the requirements of your job?

Yes ___

No ___

If no, what aspects of your job need clarification?

2. List the expectations for the review period and assess how well you have succeeded in

meeting

each expectation. Attach a separate sheet if necessary.

3. What changes in duties or priorities did you face during the review period and how did

you handle them?

4. What are your strengths (the things you do well) and how do you put them to use in your

position?

5. What are your weaknesses (the things you don’t do so well) and how do they impact your

job?

Self-Evaluation Form