Worksheet Self-Assessment

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Self-Assessment Worksheet

Employee Name: {{employee_name}}

Employee ID: {{employee_id}}

Department: {{department}}

Position: {{position}}

Assessment Period: {{start_date}} to {{end_date}}

Date of Assessment: {{assessment_date}}

1. Key Responsibilities and Achievements

Reflect on your key responsibilities during the assessment period. List your most significant achievements and contributions, providing specific examples and quantifiable results where possible.

Achievements:

- {{achievement_1}}

- {{achievement_2}}

- {{achievement_3}}

2. Strengths

Identify your key strengths that have contributed to your success in your role. How have these strengths been applied effectively?

Strengths identified:

- {{strength_1}}

- {{strength_2}}

- {{strength_3}}

3. Areas for Development

Identify areas where you believe you need to improve or develop further. What specific skills or knowledge would enhance your performance?

Areas for development:

- {{development_area_1}}

- {{development_area_2}}

- {{development_area_3}}

4. Goals for the Next Period

Set SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals for the upcoming assessment period. How will achieving these goals contribute to your personal and professional growth, and to the company's objectives?

Goal 1: {{goal_1_description}}

- How it will be measured: {{goal_1_measurement}}

- Target date: {{goal_1_target_date}}

Goal 2: {{goal_2_description}}

- How it will be measured: {{goal_2_measurement}}

- Target date: {{goal_2_target_date}}

5. Support Required

What resources, training, or support do you require from your manager or the company to achieve your development goals?

Support needed:

- {{support_needed_1}}

- {{support_needed_2}}

6. Additional Comments

Use this section for any additional comments, concerns, or suggestions not covered above.

{{additional_comments}}

Signature Block

_____________________________

Employee Signature

{{employee_name}}

Date: {{signature_date}}