# Self-Evaluation Form

Name:

| No.  | Topic          | Very Confident | Fairly Confident | Not Very Confident | Not At All Confident | Notes |
| ---- | ----------------------------- | ---------------| ---------------- | ------------------ | -------------------- | ----- |
| 1   | I have a broad and deep knowledge over my work field. |                |                  |                    |                      |   |
| 2   | I am also considering other people and departments when doing my work. |                |                  |                    |                      |   |
| 3   | I am flexible. |                |                  |                    |                      |   |
| 4   | I am motivated. |                |                  |                    |                      |   |
| 5   | I am good at communication. |                |                  |                    |                      |   |
| 6   | I share information with my colleagues and supervisors accordingly. |                |                  |                    |                      |   |
| 7   | I am a team player. |                |                  |                    |                      |   |
| 8   | I have a confident presence in my field of work. |                |                  |                    |                      |   |
| 9  | I complete assigned work effectively and on time. |                |                  |                    |                      |   |
| 10  | I am fully occupied with my work. |                |                  |                    |                      |   |
| 11  | I am resilient. |                |                  |                    |                      |   |
| 12  | I show initiative. |                |                  |                    |                      |   |
| 13  | I can work autonomously. |                |                  |                    |                      |   |
| 14  | I am good at negotiating. |                |                  |                    |                      |   |
| 15  | I am good at leading my subordinates. |                |                  |                    |                      |   |
| 16 | I am sufficiently qualified for my current job/tasks. | | | | | |
| *17 | I possess sufficient resources for me to achieve my tasks. | | | | | |

\* Not available in the employee evaluation form, only in this form.

## Other remarks, requests, suggestions

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2022-01-01 - Version 1.0
