Employee Self-Assessment
Employee Information
| Field | Details | 
|---|
| Employee Name |  | 
| Job Title |  | 
| Department |  | 
| Assessment Period |  | 
| Supervisor’s Name |  | 
Assessment Criteria
Rate your performance in each category on a scale of 1-5, where:
1 = Needs Improvement, 2 = Below Expectations, 3 = Meets Expectations, 4 = Exceeds Expectations, 5 = Outstanding
| Criteria | Rating | Comments | 
|---|
| 1. Job Knowledge |  |  | 
| 2. Quality of Work |  |  | 
| 3. Productivity and Efficiency |  |  | 
| 4. Communication Skills |  |  | 
| 5. Teamwork and Collaboration |  |  | 
| 6. Problem-Solving and Initiative |  |  | 
| 7. Adaptability |  |  | 
Achievements
- What are your key accomplishments during this assessment period? 
- List any new skills or certifications you have acquired. 
Areas for Improvement
- What challenges did you encounter, and how can you address them? 
- What resources or support do you need to enhance your performance? 
Future Goals
- What goals do you aim to achieve in the next assessment period? 
- How do you plan to contribute to [YOUR COMPANY NAME]'s goals? 
Supervisor’s Feedback (To Be Filled by Supervisor)
| Feedback Area | Comments | 
|---|
| Strengths |  | 
| Improvement Opportunities |  | 
| Additional Comments |  | 
Employee Acknowledgment
I acknowledge that I have completed this self-assessment to the best of my ability and have provided honest feedback regarding my performance.
Employee Signature
Supervisor Signature
Assessment Templates @ Template.net