EMPLOYEE MONTHLY SELF-EVALUATION FORM

NAME: Period: Date Accomplished:

Please answer all of the following questions to the best of your abilities. Place a check mark in
the appropriate box to indicate your answer. Once you have finished answering the questions, total
all of the scores in each of the column, and then add each of the columns into one comprehensive
score. This final score is your self-evaluation score; the higher this score is, then the more confident
you feel about the company, its structure, and your role within the company.
Mangyaring sagutin ang lahat ng mga sumusunod na tanong sa abot ng iyong kakayahan. Maglagay ng
check mark sa naaangkop na kahon upang ipahiwatig ang iyong sagot. Kapag natapos mo na ang pagsagot
sa mga tanong, kuhain ang sumatotal ng mga marka sa bawat haligi, at pagkatapos ay kuhain ang isang
kumpletong puntos. Ang pangwakas na iskor ay ang iyong iskor sa pagsusuri sa sarili; mas mataas ang iskor
na ito, mas tiwala ka sa iyong kakayahanpa tungkol sa kumpanya, pamamalakad nito, at ang iyong
ginagampanang papel sa loob ng kumpanya.
QUESTION DON’T SOMEWHAT AGREE STRONGLY TOTALLY
AGREE (0) AGREE (1) (2) AGREE (3) AGREE (4)
1. I know and understand the
responsibilities of my job.
2. I know who my supervisor is and
what their responsibilities are.
3. I feel that my workload is
heavier than it needs to be.
4. I feel that I can go to my
supervisor with any problem
that I may have.
5. I know what my benefits are.
6. I believe that I am productive in
my job.
7. I believe that I am part of a
productive and active team.
8. I know what my company’s long
term goals are.
9. I am familiar with the
organizational structure of the
company
10. I believe that I have had enough
training to perform my job.
Total for each column
1. Comments or suggestions to improve my performance.

2. Comments or suggestions for my immediate supervisor.

3. Comments or suggestions to improve the company.