Mental Health Work

Self-evaluation Form

Your name: ​

Your role: ​

Name of person providing feedback: ​

Role of person providing feedback: ​

Item

Your Score

Feedback Score

Self-management and Productivity

1

I always arrive at work on time

2

I manage my time and I am effective and productive

3

I attend work consistently with little time off

4

I always dress appropriately for the job

5

I arrive at work refreshed and ready to do the job

6

I am a self-starter and stay motivated and focused

7

I set personal and work goals

8

I handle stress, conflict and pressure in a positive way

9

I have good work-life balance

10

I stay home and rest when I am sick

Professionalism and Attitude

11

I use my initiative to solve problems and overcome obstacles

12

I have a positive attitude, even when I’m having a tough day

13

I take personal responsibility to resolve problems

14

I am flexible and can adapt quickly to change

15

I keep up-to-date with industry intelligence

16

I keep my knowledge and skills current

17

I am always learning new skills and knowledge

18

I stay calm in trying circumstances

19

I take on extra responsibilities and see them as an opportunity

20

I come up with solutions, recommendations and suggestions

21

I never whinge or gossip

22

I follow workplace policy and procedures

23

I plan ahead and am organised

24

I am ethical in my workplace behaviours

25

I welcome feedback on my performance

Communication and Relationships

26

I am a good listener

27

I speak up when necessary

28

I ask questions if I am unsure

29

I have a friendly cooperative disposition

30

I am able to negotiate with ease

31

I manage my relationships with clients and colleagues

32

I understand the way people really feel-not what they may say

33

I have positive and cooperative relationships with my colleagues

34

I am friendly and assist new employees

35

I contribute positively my organisation’s morale and spirit

36

I can be trusted by others

37

I demonstrate integrity in my dealings with others

38

I am liked and respected by clients

39

I am liked and respected by colleagues

Skills and Knowledge Application

40

I have good knowledge within my personal responsibility area

41

I can research information quickly and accurately

42

I am a competent computer user and open to new technologies

43

I have good literacy skills and can write clear letters and file notes

44

I can accurately add, subtract, multiply and calculate percentages

45

I speak clearly to others both in person and on the telephone

46

I can confidently talk or give a presentation in front of my colleagues

47

I can securely and safely manage my employer’s money

48

I understand my duty of care to clients and colleagues

49

I follow the codes of practice for my industry area

50

I coach and mentor my colleagues as required