Self Assessment Survey
Name
First Name
Last Name
Position/Title
Department
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Kindly answer a series of questions and rate yourself as you see fit.
Please select the following skills you have:
Communication
Technical
Leadership
Organizational
Creative & Design
People Skills
Solving Problems
Physical Abilities
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How would you rate your communication skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your technical skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your leadership skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your organizational skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your creative and design skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your people skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your problem-solving skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
How would you rate your physical abilities skills?
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
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Please rate your skills or qualities below:
Rows
Excellent
Very Good
Good
Poor
Very Poor
Teamplayer skills
1
2
3
4
5
Able to communicate effectively
6
7
8
9
10
Excellent writing skills
11
12
13
14
15
Listening attentively and open for communication
16
17
18
19
20
Able to speak and talk to a large audience
21
22
23
24
25
Help others who are in need
26
27
28
29
30
Able to influence others
31
32
33
34
35
Good decision-making skills
36
37
38
39
40
Ownership and accountability
41
42
43
44
45
Able to deliver his/her thoughts properly
46
47
48
49
50
Leadership abilities
51
52
53
54
55
Commitment to the assigned task
56
57
58
59
60
Promote a supportive environment
61
62
63
64
65
Participate in team activities
66
67
68
69
70
Encourage others if needed
71
72
73
74
75
Interested in learning new things
76
77
78
79
80
Open for feedback and suggestions
81
82
83
84
85
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Please rate your character/nature/trait below:
Rows
Strongly Agree
Somewhat Agree
Strongly Disagree
Analytical and Logical
86
87
88
Dependent
89
90
91
Initiative
92
93
94
Confidence
95
96
97
Responsible
98
99
100
Persuasive
101
102
103
Minimalist
104
105
106
Efficient
107
108
109
Funny
110
111
112
Reliable
113
114
115
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What were your accomplishments and achievements in the past years?
What areas of your work you think you could improve on?
What are the skills or knowledge you would like to enhance?
What are your goals for working in this company or institution?
What are your strengths and weaknesses? How will you overcome them?
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