Healthcare Worker Self-Assessment
Full Name
Role / Position
Department / Unit
Date
1. Describe your current responsibilities and tasks:
2. List your key achievements since your last assessment:
3. What challenges have you encountered?
4. What areas do you feel you need improvement in?
5. Are there any trainings or support you require?
6. Rate your current workload:
Low
Moderate
High
7. Additional comments / feedback: