MENU - SELF-EVALUATION QUESTIONS
The following is a menu of questions from which you can select to design a self-evaluation
form for your staff to complete during the annual performance evaluation process. You can
tailor the questions for your department. When you have selected the questions you wish
to ask, you can copy and paste them to the Staff Member Self Evaluation Form template.
As an alternative to designing a self-evaluation form, you may use the existing self-
evaluation form available on the Human Resources website.
Job Description/Responsibilities
• What do you consider to be your top three to five job responsibilities? (Use your job
description as a reference and identify the responsibilities you consider to be the
most important or the ones that have had the biggest impact on your department
and/or the College.)
• Did any of your job responsibilities change, and if so, how?
• If you performed any new responsibilities or additional duties that are outside the
scope of what you do regularly, what are they?
• Are there components of your job that you would like to change and, if so, how
would you change them?
• What can your supervisor do to help you be successful in performing your
responsibilities?
• What can your co-workers do to help you be successful in performing your
responsibilities?
• What suggestions do you have to improve how your unit/department operates?
Performance Assessment and Accomplishments
• How do you think you did in carrying out your top three to five responsibilities as
well as your other responsibilities?
o In what ways do you think you were successful?
o In what ways do you think you could have done something different and/or
better?
• During the past 12 months (or applicable time frame), what contributions have you
made to your work team/unit, your department or the College? (Think about what
you have accomplished, projects you worked on, times you took the initiative to
solve a problem or suggested how one could be solved, feedback you received from
others and how successful you were in achieving your current goals.)
• What strengths do you bring to your job?
Page 1 of 2