Individual Self-Assessment Form

Individual Self-Assessment Form
Name
First NameLast Name
Date of Assessment
MonthDayYear
Date
Please rate your proficiency level in the following skills on a scale of 1 to 5 (1 = Beginner, 5 = Expert).
1 2 3 4 5
Communication Skills 1 2 3 4 5
Leadership Skills 6 7 8 9 10
Problem-Solving Skills 11 12 13 14 15
Time Management Skills 16 17 18 19 20
Technical Skills 21 22 23 24 25
List your top strengths and weaknesses below.
Set one short-term goal (achieve within the next 3 months)
Short-Term Goal
Action Plan
Set one long-term goal (achieve within the next 1 year).
Long-Term Goal
Action Plan
Current Position
Career Goals
Type a question
Steps to Achieve Career Goals
Health and Wellness Goals
Learning and Development Goals
Relationship Goals
Provide any additional feedback, insights, or reflections on your self-assessment
Should be Empty: