Attitude - 360 Degree Feedback Survey Sample #8

Self-Assessment Instructions

You have been selected to complete a self-assessment questionnaire as part of a 360-degree feedback assessment. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

Respond to the assessment form based on your work experiences during the previous 12 months. Your responses will be merged with other people's feedback and presented to you in your on-going development. Comments from others will be shared anonymously, as written.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Attitude	Agree	Unsure	Disagree	N/A
You avoid placing blame on others when confront with problems or mistakes.
You demonstrate awareness of others' time constraints and adjust accordingly.
I encourage shared learning by valuing contributions from others, asking thoughtful questions, and integrating feedback into practice.
I am self-confident and willing to take risks to advance important projects.
I reinforce progress by celebrating milestones and maintaining momentum during difficult phases.
Flexibility	Agree	Unsure	Disagree	N/A
I adapt strategies to fit the specific needs of each situation.
You actively listen to others, consider their viewpoints, and incorporate these insights into the decision-making process.
I am flexible in my approach to dealing with unpredictable events.
You embrace change and is willing to pivot strategies based on new information.
You support a flexible culture that values continuous improvement and innovation.
Continual Learning	Agree	Unsure	Disagree	N/A
You take charge of your training and skills enhancement.
You share best practices with others and learn from others.
You take the initiative to learn new skills.
You participate in regular training offered.
I view setbacks as opportunities to learn from.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You determine the distribution of tools, equipment, and budget need to achieve objectives.
I regularly review standards of performance to ensure they remain relevant and aligned with strategic goals.
You anticipate potential challenges or obstacles that might derail department plans.
You expand employee focus from day-to-day tasks to more strategic goals.
I ensure that each team member is assigned some part of the project.
Analytical	Agree	Unsure	Disagree	N/A
I decompose problems into smaller, manageable parts.
You select the appropriate techniques for analysis.
I analyze market trends, forecast sales, and optimize supply chain operations.
I assess the validity and correctness of the data before using it to draw conclusions.
You analyze issues and reduce them to their component parts.
Initiative	Agree	Unsure	Disagree	N/A
I take action in the absence of specific direction.
When working on a problem in a team, I often am the first to suggest possible solutions.
You guide strategic initiatives to advance the department/organization.
You initiate actions that impact the department/company.
I immediately work on solving problems.
Results Oriented	Agree	Unsure	Disagree	N/A
You quickly integrate feedback to refine execution plans without lose momentum.
You clarify the "why" behind expectations to foster intrinsic motivation and commitment.
I maintain focus on end goals while adapting the path to get there.
You are highly motivated to complete tasks despite obstacles that may arise.
I hold others accountable for producing high quality work.
Objectives	Agree	Unsure	Disagree	N/A
You work toward achieving established goals and objectives.
You establish goals and objectives.
You organize and schedules events, activities, and resources.
You are able to establish realistic goals.
You assure [Company] principles are understood, employed & pursued.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
You see value in the diversity of individuals on the team.
I respect other members of the team/department.
You recognize the contributions of others.
You a good listener who is attentive to others.
I maintain a high degree of honesty and integrity.
Client Focus	Agree	Unsure	Disagree	N/A
I tailor solutions to meet the specific needs of each client.
You manage client accounts with high degree of competence.
I create an environment that enables clients to receive excellent service.
You are able to handle difficult clients.
You are honest in all communication with the clients.
Co-worker Development	Agree	Unsure	Disagree	N/A
You give others development opportunities through project assignments and increased job responsibilities
You provide ongoing feedback to co-workers on your development progress
You take immediate action on poor performance
You set and clearly communicate expectations, performance goals, and measurements to others
You adapt coaching and mentoring approach to meet the style or needs of individuals

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.