Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Employee Information
Employee Name: {{employee_name}}
Department: {{department}}
Position: {{position}}
Date of Review: {{date_of_review}}
Review Period: {{start_date}} - {{end_date}}
Instructions for Completion
This worksheet is designed to be a self-reflection tool. Please contemplate your performance, achievements, and areas for improvement over the specified review period. Be honest and objective in your assessment. Your responses will form the basis for a constructive discussion with your manager.
Consider specific examples to illustrate each point where possible. This is not a test, but an opportunity for growth and development.
Part 1: Strengths (What are you good at?)
Identify 3-5 key strengths that you believe contribute positively to your role, team, and the company. Think about skills, knowledge, and personal attributes. Provide specific examples of how these strengths have been demonstrated and their impact.
1. {{strength_1_description}}
Example/Impact: {{strength_1_example}}
2. {{strength_2_description}}
Example/Impact: {{strength_2_example}}
3. {{strength_3_description}}
Example/Impact: {{strength_3_example}}
4. {{strength_4_description}}
Example/Impact: {{strength_4_example}}
5. {{strength_5_description}}
Example/Impact: {{strength_5_example}}
Manager's Comments on Strengths: {{manager_comments_strengths}}
Part 2: Areas for Development / Weaknesses (What could you improve?)
Identify 3-5 key areas where you believe you could improve or develop further. These are not necessarily 'weaknesses' but opportunities for growth. Provide specific examples of situations where these areas have been evident and suggest potential actions for improvement.
1. {{weakness_1_description}}
Example/Impact: {{weakness_1_example}}
Suggested Actions for Improvement: {{weakness_1_actions}}
2. {{weakness_2_description}}
Example/Impact: {{weakness_2_example}}
Suggested Actions for Improvement: {{weakness_2_actions}}
3. {{weakness_3_description}}
Example/Impact: {{weakness_3_example}}
Suggested Actions for Improvement: {{weakness_3_actions}}
4. {{weakness_4_description}}
Example/Impact: {{weakness_4_example}}
Suggested Actions for Improvement: {{weakness_4_actions}}
5. {{weakness_5_description}}
Example/Impact: {{weakness_5_example}}
Suggested Actions for Improvement: {{weakness_5_actions}}
Manager's Comments on Areas for Development: {{manager_comments_weaknesses}}
Part 3: Development Plan
Based on the identified areas for development, outline specific goals and actions you will take to improve. Include timelines and desired outcomes. This section should be discussed and agreed upon with your manager.
1. Development Goal: {{development_goal_1}}
Actions: {{actions_1}}
Timeline: {{timeline_1}}
Desired Outcome: {{outcome_1}}
2. Development Goal: {{development_goal_2}}
Actions: {{actions_2}}
Timeline: {{timeline_2}}
Desired Outcome: {{outcome_2}}
3. Development Goal: {{development_goal_3}}
Actions: {{actions_3}}
Timeline: {{timeline_3}}
Desired Outcome: {{outcome_3}}
Overall Employee Comments
Please provide any additional comments or reflections on your performance over the review period, or specific achievements not covered above.
{{employee_overall_comments}}
Overall Manager Comments
Manager's overall assessment of the employee's performance, potential, and future development.
{{manager_overall_comments}}
Agreement and Signatures
By signing below, both the employee and manager acknowledge that this performance review has been discussed. This signature does not necessarily imply agreement with every statement but confirms participation in the review process.
Employee Signature: _________________________ Date: {{employee_signature_date}}
Printed Name: {{employee_printed_name}}
Manager Signature: _________________________ Date: {{manager_signature_date}}
Printed Name: {{manager_printed_name}}
Related templates
Tuition Reimbursement Policy
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.
Employee Discount Program
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.
Disability Insurance Policy
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.
Long Service Award Policy
Enterprise-grade policy document with purpose, scope, definitions, procedures, responsibilities, compliance monitoring, and revision history — fully editable and ready for executive sign-off.