Skills Self Assessment Form

A structured form for employees to assess their proficiency across key skills, identify development needs, and provide supporting evidence for review and planning.

Employee Information

• Employee name
  Enter your full name as it appears in company records.
• Job title
  Your current role title.
• Department
  Your department or team.
• Manager name
  Optional. Used to route the assessment for review.
• Review period
  Select the assessment cycle or review period.

Assessment Scope

• Skill categories to assess
  Select all categories that apply to your role.
• Key skills for this assessment
  Add the specific skills you want to assess. Include only skills relevant to your role or development plan.
• Assessment context
  Choose the reason for this self-assessment.

Skill Self-Assessment

• Skill assessment
  Rate each skill, describe your current proficiency, and note evidence or examples.
• Proficiency scale
  Use the same scale for all skills in this assessment.
• Top strengths
  Briefly describe the skills where you are strongest and why.
• Skills needing improvement
  List the skills where you would like to improve and the gaps you have identified.

Development Plan

• Development goals
  Describe the specific skills or outcomes you want to improve over the next review period.
• Preferred learning methods
  Select the learning approaches that would help you most.
• Support needed
  Describe any support, accommodations, tools, or resources that would help you achieve your goals. If you need a reasonable accommodation, you may state that here without sharing medical details.
• Target completion date
  Optional. When would you like to complete the development goals?

Supporting Evidence

• Evidence summary
  Summarize the most relevant work samples, outcomes, metrics, or feedback that support your self-assessment.
• Supporting files
  Upload optional supporting documents such as work samples, certifications, or feedback summaries.
• Reference links
  Optional. Add links to relevant portfolios, dashboards, or project artifacts.

Reflection and Consent

• Accuracy confirmation
  I confirm that the information in this self-assessment is accurate to the best of my knowledge.
• Consent to review
  I consent to this information being shared with my manager, HR, or designated reviewer for performance and development planning purposes.
• Privacy notice acknowledgement
  I understand that this form may contain PII and performance-related information and will be handled according to company policy and applicable data protection requirements.
• Additional comments
  Optional. Add any final context you want your reviewer to know.