Self-Assessment Form (Pre) : Signature: Date

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Ref No:

Self-Assessment Form
(Pre)
The purpose of this document is to help you, reflect on the program that you have just attended. Please take 1015 minutes to give a thought to this program, where do you currently see yourself with regards to this training
area. You may refer to the pre-training assessment that was filled by you earlier, to check your progress.
Name

: _________________________________________________________

Employee code:

: _________________________________________________________

Functional Dept.

: _________________________________________________________

Training program

: _________________________________________________________

Name of Trainer

_________________________________________________________

Strongly
Agree (5)

Agree
(4)

Neutral
(3)

Disagree
(2)

Strongly
Disagree (1)

1. Do you face any problem in your current


skill

2. Do you attend any training relating with


this skill

Yes

No

Particulars

3. With regards to the training ,on a 5 point scale ,I would, rate my self:
Excellent (5)

Good (4)

Average (3)

Poor (2)

Very poor (1)

4. Skills I need to perform my job perfectly:

5. Are there any particular aspects that you would like included in training?

6. What do you hope to do differently when you have completed this course?

Signature:

Date:

Thank you for taking the time to provide your feedback

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