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.

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Action	Definite Strength	Meets Standards	Needs Development	N/A
I avoid "Analysis Paralysis" through action.
I seek new opportunities for advancement.
You are not afraid to take corrective action when necessary.
I take steps to prepare for the start of the project.
I take responsibility for meeting performance standards.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You work effectively in the department.
You shown significant improvement in job performance.
You are effective in performing your job.
You listen and respond to issues and problems
You effectively organize resources and plans
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You identify new opportunities to achieve goals
I adapt training delivery to enhance effectiveness and create an inclusive environment, boosting team cohesion and productivity.
I am agile and versatile when responding to critical issues.
I encourage a culture of experimentation and innovation.
I embrace issues as opportunities to learn and grow.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
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.
You are able to understand others' points of view.
You accurately perceive the emotional reactions of others.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You keep open and regular communication with others.
You deliver effective public presentations.
I discuss ideas and concepts with peers.
I take on challenging questions and provide instant answers.
I engage in clear communication with both senior and junior management.
Persuasion and Influence	Definite Strength	Meets Standards	Needs Development	N/A
You ensure stakeholders are involved in the decision making process.
You attempt to persuade others rather than simply control them.
You develop a good rapport with others.
You have excellent influencing/negotiating skills.
You understand what others need.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You understand and contribute to development of strategic goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You achieve established goals.
You set challenging stretch goals
You make sure that I have a clear idea of our group's goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You use technology in decision making and problem solving.
You maximize the use of new technology to deliver products and services.
You support technical training and development of employees.
You apply complex rules and regulations to maintain optimal system performance.
You support employee training and development initiatives regarding implementation of technology.
Partnering/Networking	Definite Strength	Meets Standards	Needs Development	N/A
I facilitate inter-departmental collaboration and information sharing.
You support a partnering/networking culture.
You participate in conflict resolution to find mutually beneficial solutions.
You encourage employees to explore new partnership opportunities to expand market presence.
You facilitate cross-functional collaboration and information sharing between various stakeholders.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I encourage other team members to adopt new procedures.
I listen and am attentive to other team members.
You relate to all kinds of people tactfully
You share resources and information with the team.
I help the team exercise good judgment by making sound and informed decisions.

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.