Employee Self Appraisal Form

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EMPLOYEE SELF APPRAISAL FORM
EMPLOYEE NAME _______________________________ DATE ________________
Reason for Evaluation: ___ Annual
___ Promotion
___ Merit
___ Other
Starting Date in Position: ____/____/____
Date of Last Evaluation: ____/____/____
The Town of Stratham is committed to maintaining documented performance standards and
expectations for all positions within the Town and for providing employees with consistent
feedback about performance and position responsibilities.
This self appraisal is intended to help employees objectively reflect on their performance and work
situation over the evaluation period and to be prepared to participate actively in the evaluation
conversation with their supervisor. It provides the supervisor with valuable information about
employee performance, needs, and concerns from the employee’s perspective. Employee answers
are an annual opportunity for input into what changes could be considered for the good of the
department and the town. This form will become part of an employee’s permanent personnel record
attached to the corresponding performance evaluation form.
1. Since your last evaluation, what job-related accomplishments are you most proud of, and why?
2. Which of your responsibilities did you perform best or improve in the most? What contributed
to this?
3. Which of your responsibilities could you have performed better? What affected your
performance?
4. What courses, training, or experience most benefited you since your last evaluation?
5. In what areas could you have used more experience or training?
EMPLOYEE SELF APPRAISAL FORM
EMPLOYEE NAME _______________________________ DATE ________________
Reason for Evaluation: ___ Annual
___ Promotion
___ Merit
___ Other
Starting Date in Position: ____/____/____
Date of Last Evaluation: ____/____/____
The Town of Stratham is committed to maintaining documented performance standards and
expectations for all positions within the Town and for providing employees with consistent
feedback about performance and position responsibilities.
This self appraisal is intended to help employees objectively reflect on their performance and work
situation over the evaluation period and to be prepared to participate actively in the evaluation
conversation with their supervisor. It provides the supervisor with valuable information about
employee performance, needs, and concerns from the employee’s perspective. Employee answers
are an annual opportunity for input into what changes could be considered for the good of the
department and the town. This form will become part of an employee’s permanent personnel record
attached to the corresponding performance evaluation form.
1. Since your last evaluation, what job-related accomplishments are you most proud of, and why?
2. Which of your responsibilities did you perform best or improve in the most? What contributed
to this?
3. Which of your responsibilities could you have performed better? What affected your
performance?
4. What courses, training, or experience most benefited you since your last evaluation?
5. In what areas could you have used more experience or training?
EMPLOYEE SELF APPRAISAL FORM
6. What assistance, tools, or resources could help you be more effective in your position?
7. What suggestions, ideas, or concerns do you have for yourself or for the department?
8. What skills do you have that are being underutilized that you would like to use more?
9. Are there skills that you do not have now that you would like to develop? How can your
supervisor help you in developing those skills?
10. What are you most proud of concerning your goals for the past period? What contributed to
your success in achieving that goal or goals? If any/all goal(s) were not achieved, what obstacles
prevented your success?
11. What goals would you like to achieve in the coming year? How do those goals add value to the
work of the department and the Town?
12. For which of your goals would you like your supervisor’s assistance and support? What
obstacles need to be removed so that you can successfully achieve your goals?
Other topics related to your position that you would like to discuss and/or additional comments:

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