Employee Self-Assessment and Goals
Employee’s Name Title
Supervisor’s Name Department
1. Describe your goals/areas of emphasis for the past year.
2. List your significant accomplishments from the past year.
3. What were key obstacles in accomplishing your job responsibilities?
4. What goals do you have for the next review period?
5. What support do you need to achieve these goals? How can your supervisor assist you in
6. What can your supervisor to do more effectively recognize your contributions?
7. In what areas would you like to grow and develop? What are your strategies for