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Self Assessment Feedback Form
Please fill the form carefully
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Full Name:
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First Name
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Last Name
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Position/Title:
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Department:
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Kindly answer a series of questions and rate yourself as you see fit
Please select the following skills you have:
Communication
Technical
Leadership
Organizational
Creative & Design
People Skills
Solving Problems
Physical Abilities
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How would you rate your communication skills:
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Best
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How would you rate your technical skills:
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How would you rate your leadership skills:
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Best
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How would you rate your organizational skills:
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How would you rate your creative and design skills:
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Best
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How would you rate your people skills:
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Best
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How would you rate your problem-solving skills:
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How would you rate your physical abilities skills:
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Please rate your skills or qualities below:
Good
Average
Excellent
Poor
Teamplayer skills
Able to communicate effectively
Excellent writing skills
Listening attentively and open for communication
Able to speak and talk to a large audience
Help others who are in need
Able to influence others
Good decision-making skills
Ownership and accountability
Able to deliver his/her thoughts properly
Leadership abilities
Commitment to the assigned task
Promote a supportive environment
Participate in team activities
Encourage others if needed
Interested in learning new things
Open for feedback and suggestions
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Please rate your character/nature/trait below:
Strongly Agree
Somewhat Agree
Strongly Disagree
Analytical and Logical
Dependent
Initiative
Confidence
Responsible
Persuasive
Minimalist
Efficient
Funny
Reliable
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What were your accomplishments and achievements in the past years:
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What areas of your work you think you could improve on:
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What are the skills or knowledge you would like to enhance:
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What are your goals for working in this company or institution:
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What are your strengths and weaknesses, how will you overcome them:
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Signature:
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