Fillable Printable Simple Self-Evaluation Form
Fillable Printable Simple Self-Evaluation Form
Simple Self-Evaluation Form
SELF-E VAL UATION F O R M
This form can be u sed 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 underst and the req uir ements of your job ? Yes ___ No ___
If no, what as pects of your job need clarifica tion?
2. List the expectations for the review period and assess how well you have succeeded in
meeting
each expect a t ion. Attach a separate sheet if necessary.
3. What changes in duti es or pr iorities did you face during the review period and how did
you handle t h em?
4. What are yo ur s trengths (the things you do well) and ho w do you put them t o use in your
position?
5. What are your weaknesses (the things you don’t do so well) and ho w do they impact yo ur
job?
6. What would help you enhance your performance (training, equ ipme nt, etc.)?
7. What are your expectations for the coming evaluation period?
8. How would you rate your overall performance for this review period?
Outs tanding ___ Exceeds Expec tations ___
Meets Expectations ___ Below Expect ations ___
Unsatisfactory ___
