Employee Self Evaluation Form

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Employee Self Evaluation Form
Employee Name: ______________________________ Position: _________________________
Department: __________________________________ Date: _____________________
(Submit this form to the supervisor or the departmental head upon completion)
Answer the following questions about yourself in the spaces provided using the grade scale
provided. Please be very honest and sincere in evaluating yourself.
KEY:
E – Very poor
D – Below average
C – Average
B – Above Average
A – Very Good
Questions:
1. How can you rate the administrative attitude and support towards employees? ______________
2. How do you think your performance has been since the last evaluation? ________________
3. What, in your opinion is the importance of your last evaluation? ________________
4. What would the following changes, if made, would improve your performance?
Salary adjustment ________________ More reviews ________________
Administration ________________ Departmental changes ________________
5. Rate the following areas about your service delivery
Results _______________ Team work _______________ Salary and benefits ______________
Work environment ________________ Talent ________________
Employee Signature ________________________ Date _________________
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