Employee Self Evaluation Form

Information you will need

• What’s the employee’s name?
• What’s the employee’s job title and department?
• What's the employee's ID number? (if applicable)
• What’s the review period?
• What are your main job responsibilities?
• What are your most important responsibilities?
• What’s helped or hindered you at work?
• What are the your accomplishments?
• What are your strengths?
• Where can you improve?
• What are your goals and action points?
• How can the your supervisor help you achieve your goals and do a better job?
• What areas would additional education and training help you?
• What's the supervisor's name?

Completed by the employee.

The form includes 2 signature lines.