A self assessment form is a document that allows an individual to assess their own abilities, qualities, and skills. This information can then be used to identify areas in which the individual may need to improve or develop further. Self assessment forms are usually completed as part of an evaluation process, such as for job applications or academic programs. They can also be helpful in personal development planning. The content of a self assessment form will vary depending on the purpose for which it is being used. However, most forms will cover topics such as work experience, education, skills and talents, strengths and weaknesses, and goals and aspirations.
You will see information about the type of form you wish to complete in the table. It will show you the time it takes to fill out self assessment form, what fields you will need to fill in, etc.
| Question | Answer |
|---|---|
| Form Name | Self Assessment Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | cosa pdf, ocairs assessment pdf, ocairs, cosa ot |
Child Occupational Self Assessment (COSA)
Summary Rating Form
Name: _____________________ |
Gender: M o F |
o |
Date of Birth: ____/____/____ |
School Grade: __________ |
Education Program: |
_____________________________________ |
|
Therapist: _______________________________ |
|
Assessment Date: _____/_____/_____ |
|
Myself
Keep my body clean
Dress myself
Eat my meals without any help
Buy something myself
Get my chores done
Get enough sleep
Have enough time to do
things I like
Take care of my things
Get around from one place
to another
Choose things that I want to do
Keep my mind on what I
am doing
Do things with my family
I have a big problem doing this |
I have a little problem doing this |
I do this ok |
I am really good at doing this |
Not really important to me |
Important to me |
Really important to me |
Most important of all to me |
SAMPLE
Do things with my friends
Do things with my classmates
Follow classroom rules
Finish my work in class on time
Get my homework done
Child Occupational Self Assessment (COSA) (continued)
Myself
Ask my teacher questions
when I need to
Make others understand
my ideas
Think of ways to do things when I
have a problem
Keep working on somthing even
when it gets hard
Calm myself down when
I am upset
Make my body do what I
want it to do
Use my hands to work with things
Finish what I am doing without
getting tired too soon
COSA
I have a big problem doing this |
I have a little problem doing this |
I do this ok |
I am really good at doing this |
Not really important to me |
Important to me |
Really important to me |
Most important of all to me |
SAMPLE
What are 2 other things you are really good at that we didn’t talk about today?
1.________________________________________________________________________
2.________________________________________________________________________
What are 2 other things you have a big problem with that we didn’t talk about today?
1.________________________________________________________________________
2.________________________________________________________________________
Is there anything else that is important to you that we didn’t get to talk about? Would you like to tell me?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________