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It’s Time for YOUR Annual Self- Assessment

Here is Annual Self-Assessment Form. Copy this. Print this. Post your notes with YOUR coach or accountability partner.

Date: _________

Step 1:

List the top 5 people who are most important in my life today.

Instructions:

For each statement below, imagine how those who know you well would score you. Use a scale of 1 (low) to 10 (high). After scoring yourself, add comments for additional insights or actions to improve.

  1. Hope:
    “I have the “will and the way” to achieve my goals.
    Score: ____

Comments: ________________________________________________________

  1. Efficacy:
    “I feel confident in my ability to take on challenges and achieve desired outcomes.”
    Score: ____
    Comments: ________________________________________________________
  2. Resilience:
    “I can bounce back from setbacks and adapt to changes.”
    Score: ____
    Comments: ________________________________________________________
  3. Optimism:
    “I focus on the positive aspects of situations and believe in the best possible outcomes.”
    Score: ____
    Comments: ________________________________________________________
  4. Humility:
    “I value the contributions of others and admit my mistakes.”

Score: ____
Comments: ________________________________________________________

  1. Curiosity:
    “I actively seek new knowledge, ask questions, and explore diverse perspectives.”
    Score: ____
    Comments: ________________________________________________________
  2. Collaboration:
    “I work effectively with others, fostering trust, and contributing to collective goals.”
    Score: ____
    Comments: ________________________________________________________
  3. Accountability:
    “I take responsibility for my actions and follow through on commitments.”
    Score: ____
    Comments: ________________________________________________________
  4. Empathy:
    “I show understanding and compassion toward others’ experiences and emotions.”
    Score: ____
    Comments: ________________________________________________________
  5. Vision:
    “I communicate a clear and compelling vision that inspires others to act.”
    Score: ____
    Comments: ________________________________________________________

Reflection Questions:

  • What do these scores and comments suggest about your current leadership strengths?
  • Which area(s) do you most want to improve over the next year?
  • How can you leverage your relationships with the five most important people in your life to support your personal and professional growth?
  • 12 months from now, what are 1-2 important aspects of your life that you would regret losing? (These are the 1-2 aspects to focus on ahead).

Naturally, this self-assessment can be repeated at any time to track your growth and identify areas for continued development.

If you have advice on how to improve this self assessment, please comment or reply directly.

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