Employee Self Evaluation Questionnaire

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Tennessee State University
Performance Evaluation System
Employee Self Evaluation Questionnaire
Evaluation Period
As a part of the evaluation process, use this form to review, describe, and evaluate your job
performance over the past evaluation period. Share this form with your supervisor prior to your
evaluation meeting for submittal with your annual performance evaluation for your file.
1. What were your most significant work-related accomplishments? (Include projects, assignments,
new skills or knowledge gained.)
2. How do these accomplishments relate to your key responsibilities and goals for you and your
3. What didn’t you accomplish that you had planned on accomplishing? Why?
4. What are your goals for the next evaluation period?
5. How will you accomplish these goals?


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