• Social Work Self-Evaluation Form

    Complete this self-assessment to review your role, practice skills, outcomes, challenges, and development goals for the evaluation period.

  • Professional Role and Context

  • Evaluation Period*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Self-Rating of Core Practice Skills

  • Rate each core competency using the same scale: 1 = Needs significant improvement, 2 = Needs improvement, 3 = Meets expectations, 4 = Very good, 5 = Excellent.

  • Goal Achievement and Outcomes

  • Key Goals from the Evaluation Period*
  • Overall Outcome Rating*

  • Strengths, Challenges, and Support Needs

  • Support or resources requested from supervisor or organization

  • Professional Development and Future Plan

  • Desired training or supervision topics
  • Action plan with target timelines
  • Overall self-evaluation summary*
  • Should be Empty:
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