EMPLOYEE PERFORMANCE REVIEW & SELF-ASSESSMENT FORM

This form helps both employees and supervisors reflect on strengths, challenges and growth areas, while setting clear goals and expectations.

Detailed Participant Intake

Part 1: Employee Details

Part 2: Role Clarity and Skills

Part 3: Performance Reflection

Part 4: Job Performance Evaluation

Please rate your performance in each of the following key areas using the scale below.


Rating Scale:

Exceeds Expectations

Meets Expectations

Needs Improvement


You may include comments to provide context, examples, or identify areas where support or development would be beneficial.

Key Area

Part 5: Goal Setting

What specific goals would you like to set for the upcoming review period?

Part 6: Supervisor Feedback

Part 7: Employee Acknowledgement

I acknowledge that I have discussed this review with my supervisor and understand the feedback given.