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02.02.14 Personal Discipline and Professional Conduct Assessment Form

Personal Discipline and Professional Conduct Assessment Form

Rating Scale

1 = Rarely True of Me

2 = Occasionally True of Me

3 = Sometimes True of Me

4 = Usually True of Me

5 = Consistently True of Me

Personal Discipline

  1. I manage my time effectively.

Score: _____

  1. I maintain a healthy balance between work and personal life.

Score: _____

  1. I avoid behaviours that negatively affect my performance.

Score: _____

  1. I demonstrate self-discipline even when nobody is watching.

Score: _____

  1. I consistently follow through on commitments.

Score: _____

Professional Conduct

  1. I maintain professional standards of appearance.

Score: _____

  1. I conduct myself appropriately in professional settings.

Score: _____

  1. I treat customers, clients and colleagues with respect.

Score: _____

  1. I understand that my actions affect others.

Score: _____

  1. My conduct reflects positively on my organisation.

Score: _____

Personal Accountability

  1. I take responsibility for my mistakes.

Score: _____

  1. I keep accurate notes and records when required.

Score: _____

  1. I actively seek opportunities to improve my effectiveness.

Score: _____

  1. Others can rely on me to fulfil my responsibilities.

Score: _____

  1. I maintain professional standards even under pressure.

Score: _____

Calculate Your Score

Total Score: _______ / 75

Interpretation

60–75

Strong Professional Foundation

45–59

Good Foundation with Opportunities for Improvement

30–44

Several Areas Require Attention

Below 30

Significant Improvement Required

Reflection on Your Results

Which statement received your highest score?

Which statement received your lowest score?

What area would you most like to improve?