This form will assist you in evaluating your work performance. Be sure to discuss your responses with your manager during your upcoming performance review.
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What is your first name? *
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What is your last name, ___? *
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Which department do you work in? *
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What is your job title? *
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Who is your direct supervisor? *
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When did you last have a performance review? *
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___, you will now see a series of statements regarding your job performance and work habits.
Please evaluate each statement carefully and indicate your level of agreement or disagreement.
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Self-Assessment of Job Performance
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I produce high-quality work diligently, adhering to established ___ processes and protocols. *
1 → Strongly disagree
5 → Strongly agree
Strongly disagreeStrongly agree
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I consistently complete tasks within the agreed timelines and specifications, never missing a deadline or delaying a project. *
1 → Strongly disagree
5 → Strongly agree
Strongly disagreeStrongly agree
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My work is significant and aligns with the high-level goals and objectives of ___. *
1 → Strongly disagree
5 → Strongly agree
Strongly disagreeStrongly agree
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I communicate effectively and clearly. *
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I am dedicated and enthusiastic. *
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I actively assist others. *
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I embrace creativity and innovation. *
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I complete tasks quickly. *
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I am practical, persistent, and courageous. *
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Accomplishments Overview
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I achieved all the goals described in my last performance review. *
1 → Strongly disagree
5 → Strongly agree
Strongly disagreeStrongly agree
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___, what notable achievements have you had since your previous performance review? *
Also reflect on what you wished to accomplish but were unable to do.
/
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Goal Setting and Development Planning
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What objectives would you like to set for the upcoming evaluation period? *
Be sure to outline the steps you will take to achieve them.
/
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What professional development opportunities would you find beneficial for enhancing your job performance and achieving your goals? *
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How can your manager better assist you and enhance your job satisfaction? *
Consider additional resources or tools you would like access to as an example.
/
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Lastly, what is your email address? *
This will be used to send you your responses for review at a later time.
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Thank you! 👏
That concludes the process. You may now close this window.