Self-Evaluation
Name: _____________________________ Job Title: _____________________________
Supervisor: _____________________________ Date: _____________________________
Please answer the following questions with an honest assessment of your job performance
during the past [performance review period]. Once complete, return to your supervisor [time
period] before your performance review meeting.
1. What aspects of your role do you enjoy the most?
2. Are there any aspects of your job description that you no longer do? Any aspects you do
that aren’t part of your description?
3. Is there anything you would prefer to do more of or less of?
4. What has been your greatest achievement during this performance period? What do you
think made that so successful?
5. What things do you feel you do consistently well at?
6. What are some unmet goals or things you could’ve done better during this performance
period? What support would’ve helped you?
7. What skills would you like to improve upon in the next performance period?
8. What goals would you like to set for the next performance period?
9. Is there any education, coaching, or support that would help you perform better?
10. What long-term goals do you have for your career? What support would help you prepare
for those goals?
Self-Evaluation
Name: _____________________________ Job Title: _____________________________
Supervisor: _____________________________ Date: _____________________________
Please answer the following questions with an honest assessment of your job performance
during the past [performance review period]. Once complete, return to your supervisor [time
period] before your performance review meeting.
Questions
Rating*
I enjoy most aspects of my job.
□1□2□3□4□5
My job description is an accurate
reflection of my daily experience.
□1□2□3□4□5
There are certain aspects of my job I
prefer doing.
□1□2□3□4□5
I made achievements or
contributions during this
performance period that I’m proud
of.
□1□2□3□4□5
I have certain skills that I excel at.
□1□2□3□4□5
Comments
I met my goals and standards for this □ 1 □ 2 □ 3 □ 4 □ 5
performance period.
There are skills I’d like to improve
on.
□1□2□3□4□5
I know my goals for the next
performance period.
□1□2□3□4□5
I feel I have enough training to
perform my job.
□1□2□3□4□5
My work at [company name] is
aligned with my long-term career
goals.
□1□2□3□4□5
* Rating system: 1 - Strongly disagree | 2 - Disagree | 3 - Neutral | 4 - Agree | 5 - Strongly agree