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Questionnaire template

Employee Self-Assessment

An employee's self-rating of goals, competencies, strengths, development needs and support, for a 360-degree review.

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Human Resources · 360 degree feedback. All Human Resources templates

Questions in this template

About This Review

  1. This self-assessment is your part of the 360° review. Reflect honestly on your own work; your manager will discuss it with you alongside feedback from others.

  2. Which period does this review cover?

    Choose one:

    • Last 3 months
    • Last 6 months
    • Last 12 months

  3. How long have you been in your current role?

    Choose one:

    • Less than 6 months
    • 6 to 12 months
    • 1 to 3 years
    • More than 3 years

Goals and Performance

  1. How many of the goals agreed for this period did you meet?

    Choose one:

    • All or nearly all
    • Most
    • About half
    • Fewer than half
    • No goals were agreed

  2. What was your most important achievement in this period?

    Condition: Only asked when goals were agreed

    Open answer

  3. How would you rate yourself on each of the following?

    • Quality of my work
    • Productivity
    • Communication
    • Teamwork
    • Problem-solving
    • Taking initiative

    For each row: choose one:

    • Needs improvement
    • Developing
    • Meets expectations
    • Exceeds expectations
    • Outstanding

  4. Overall, how would you rate your performance in this period? (1 = Very weak, 10 = Excellent)

    A number from 1 to 10

Strengths and Development

  1. Which strengths do you bring to your role?

    Open answer

  2. Which skills would you most like to develop over the next period?

    Open answer

  3. Which kind of development is most urgent for you?

    Choose one:

    • Technical skills
    • People skills
    • Leadership
    • Planning and organisation
    • Industry knowledge

Support

  1. What would help you perform better? Select all that apply.

    Choose any that apply:

    • Training
    • Coaching or mentoring
    • Clearer goals
    • More frequent feedback
    • Better tools or equipment
    • Other
    • None needed

  2. What other support would help?

    Condition: Only asked when 'Other' was selected

    Open answer

  3. How often does your manager give you feedback on your work?

    Choose one:

    • Weekly
    • Monthly
    • Quarterly
    • Rarely or never

  4. How useful is that feedback to you?

    Condition: Only asked when feedback is given at least quarterly

    Choose one:

    • Very useful
    • Somewhat useful
    • Not very useful
    • Not at all useful

Overall

  1. How satisfied are you with your current role?

    Choose one:

    • Very dissatisfied
    • Dissatisfied
    • Neither satisfied nor dissatisfied
    • Satisfied
    • Very satisfied

  2. Is there anything you would like to raise in your review meeting?

    Open answer