Individual Self-Assessment Form
Please complete this form to reflect on your performance, skills, and career goals.
Employee Information
Name
Job Title
Assessment Date
Assessment
Please rate yourself on a scale of 1 to 5, where 1 = Needs Improvement and 5 = Excellent.
Technical Skills
Communication Skills
Teamwork and Collaboration
Leadership Skills
Problem-Solving Skills
Time Management
Adaptability and Flexibility
Customer Service
Innovation and Creativity
Work Ethic and Reliability
Strengths
Please list your top three strengths:
Weaknesses
Identify two areas where you feel you need improvement and suggest steps you plan to take:
Goals
Short-Term Goals
Action Plan
Long-Term Goals
Action Plan
Additional Information
Feedback on Current Role
What do you enjoy most about your current role?
Are there any aspects you find challenging?
If yes, please describe:
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Thank you for completing this form!
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