Action - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Self-Assessment Instructions

Thank you for agreeing to participate in this leadership training process. As part of this process, you will be completing the self-assessment questionnaire (below). As you respond, please draw on your work experiences over the past 12 months. Rate each item using the scale shown. Comments at the end can help you to explain your ratings. If you gave a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to you at the next leadership seminar to help guide your ongoing professional development.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Action	Definite Strength	Meets Standards	Needs Development	N/A
I take steps to prepare for the start of the project.
I pursue goals with action to achieve success.
You work across organizational lines and boundaries to attain goals.
You start immediately working on assignments.
You change course to meet the needs of a new situation.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You work well in this position.
You work effectively in the department.
You set a high standard for job performance.
You effectively organize resources and plans
You are able to organize work.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are able to produce a wide range of products/services to meet demands.
I expand productive capacity as demand for services increases.
You adapt quickly to new technologies that impact the production line.
You navigate ambiguity with ease, maintaining focus and productivity amidst uncertainty.
You actively listen to others, consider their viewpoints, and incorporate these insights into the decision-making process.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to understand others' points of view.
You accurately perceive the emotional reactions of others.
You are attentive to emotional cues and interprets others' feelings correctly.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
You are able to control your own emotions.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You share important information with others.
I face the person when speaking or listening to engage in direct communication.
I listen attentively and respond thoughtfully, showing I value the conversation.
You deliver effective presentations.
I mentor others on enhancing their written communication.
Persuasion and Influence	Definite Strength	Meets Standards	Needs Development	N/A
You attempt to persuade others rather than simply control them.
You understand what others need.
You develop a good rapport with others.
You have excellent influencing/negotiating skills.
You ensure stakeholders are involved in the decision making process.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You make sure that team members have a clear idea of our group's goals.
You make sure that I have a clear idea of our group's goals.
You achieve established goals.
You set challenging stretch goals
You achieve goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You apply complex rules and regulations to maintain optimal system performance.
You maximize the use of new technology to deliver products and services.
You adopt the implementation of new technology into the workplace.
You are proficient in the use of technical systems and processes.
You support technical training and development of employees.
Partnering/Networking	Definite Strength	Meets Standards	Needs Development	N/A
I reinforce the contacts with other organizations.
You create an environment that supports information exchange.
You promote a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
I plan and engage resources to the partnership effort while monitoring and evaluating progress and achievements.
You facilitate cross-functional collaboration and information sharing between various stakeholders.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I help the team balance analysis with decisiveness in making decisions.
You contribute to and supports team decision-making process
You coach team members to work toward a common goal.
You foster an environment that promotes active listening on the team.
I facilitate good rapport between team members.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.