Employee Name:

[employee name]

Employee's Position:

[employee position]

Assessor's Name:

[your name]

Date of Performance Assessment:

February 18, 2050

Goal Setting:

Have I clearly defined my goals?

• yes

• no

Do my goals align with my values and aspirations?

• yes

• no

Have I broken down my goals into manageable tasks?

• yes

• no

Have I set deadlines for each task?

• yes

• no

Time Management:

Do I prioritize tasks based on importance and urgency?

• yes

• no

Am I minimizing distractions during work periods?

• yes

• no

Do I utilize techniques like the Pomodoro method to enhance focus?

• yes

• no

Skill Development:

Am I consistently learning and acquiring new skills?

• yes

• no

Do I seek feedback to identify areas for improvement?

• yes

• no

Do I allocate time for deliberate practice?

• yes

• no

Health and Wellbeing:

Am I getting adequate sleep and rest?

• yes

• no

Do I maintain a balanced diet and stay hydrated?

• yes

• no

Do I engage in regular physical activity to boost energy levels?

• yes

• no

Organization:

Is my workspace clutter-free and conducive to productivity?

• yes

• no

Do I utilize tools and systems to streamline workflows?

• yes

• no

Am I diligent about maintaining to-do lists and calendars?

• yes

• no

Resilience:

Do I bounce back quickly from setbacks or failures?

• yes

• no

Do I practice self-compassion and positive self-talk?

• yes

• no

Am I open to seeking support when facing challenges?

• yes

• no

Reflection and Adjustment:

Do I regularly evaluate my progress towards goals?

• yes

• no

Am I willing to adapt strategies based on feedback and outcomes?

• yes

• no

Do I celebrate achievements and learn from mistakes?

• yes

• no

Consistency:

Am I committed to maintaining consistent effort over time?

• yes

• no

Do I establish routines to sustain progress?

• yes

• no

Am I accountable for my actions and follow through on commitments?

• yes

• no