Employee Self-Evaluation Checklist Form
Please complete this self-evaluation to reflect on your performance, strengths, and areas for growth.
Full Name
*
First Name
Last Name
Department or Role
*
Self-assessment of Core Competencies
*
Rows
Needs Improvement
Satisfactory
Good
Excellent
Communication
1
2
3
4
Teamwork
5
6
7
8
Problem-Solving
9
10
11
12
Initiative
13
14
15
16
Reliability
17
18
19
20
How would you rate your overall job performance?
*
1
2
3
4
5
Describe one accomplishment from this review period that you are most proud of.
What is one area where you believe you could improve?
How often did you meet deadlines and complete tasks on time?
*
Rarely
1
2
3
4
Always
5
1 is Rarely, 5 is Always
How well do you adapt to changes or new challenges at work?
*
Not well
1
2
3
4
Very well
5
1 is Not well, 5 is Very well
What goals would you like to set for the next review period?
Additional comments or feedback
Submit Self-Evaluation
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