Name:
Coach or Manager:
3. Why are you completing this evaluation?
Primary Strength Minor Strength Not a Strength or Weakness Minor Weakness Serious Weakness Ability to solve problems independently Following instructions from management Volunteering to do extra work Getting along with different kinds of people Remaining diplomatic when disagreements arise Acting decisively to get quick results when needed Accuracy and completeness in paperwork Helping keep morale high Primary Strength Minor Strength Not a Strength or Weakness Minor Weakness Serious Weakness Handling a wide variety of duties Ability to communicate effectively with others Taking the lead with other people Maintaining a high level of organization Staying positive when things go wrong Adjusting quickly to changes Skill in handling people-problems Being firm or assertive with others Primary Strength Minor Strength Not a Strength or Weakness Minor Weakness Serious Weakness Handling details with absolute precision Consistency of mood Solving a variety of problems Building close working relationships Using persuasive skills to influence others Punctuality in keeping appointments Putting in extra hours when needed Versatility in performing different tasks Working cooperatively with other people
Primary
Strength
Minor
Not a Strength
or Weakness
Weakness
Serious
Indicate all of the words or phrases YOU FEEL DESCRIBE YOU
Indicate the words or phrases you feel OTHERS WOULD USE TO DESCRIBE YOU
Indicate the ONE word in each box that best describes you
17.
Bold Cheerful Consistent
23.
Accurate Popular Controlling
18.
Expressive Assertive Discreet
24.
Spontaneous Cautious Impulsive
19.
Knowledgeable Direct Entertaining
25.
Insistent Methodical Sociable
20.
Aggressive Outgoing Reliable
26.
Talkative Quiet Decisive
21.
Too trusting Perfectionist Argumentative
27.
Effective Influential Orderly
22.
Steady Demanding Charming
28.
Careful Forceful Playful
Prioritize the items according to the importance they hold for you in your work
Type 1 next to the most important, 2 next to the second most, 3 next to the third, and so on up to 10.
Advancement opportunities Operating efficiently Providing a service Gaining knowledge Guidelines to follow High income Independence Interaction with people Leadership responsibilities Teamwork
30. Complete the sentence.
People say I'm... I'm at my best when... I can't stand people who... My motto is... My tombstone will read...
31. What do you think of the form you just completed?