Bias for 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.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You display high energy and enthusiasm on consistent basis.
You complete a large volume of work.
You identify ways to simplify work processes and reduce cycle times
You complete work on time
You convey a sense of urgency about addressing problems and opportunities
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
I ensure comprehension during conversations or group presentations.
I mentor others on enhancing their written communication.
I confidently interact with all tiers of the organization.
I summarize the question to verify comprehension.
I discuss ideas and concepts with peers.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
I remain agile and responsive to address changing needs in a dynamic environment.
You are able to bounce back from obstacles.
You embrace change and is willing to pivot strategies based on new information.
I exhibit exceptional adaptability in responding to unexpected challenges.
I am flexible to manage uncertain changes in technology.
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 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 are able to manage your own emotions.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You create several measures of success for each goal.
I use established criteria for measuring job performance.
You implement remediation plans with follow up after 3 months.
You present performance feedback in a clear and concise manner to address performance issues.
You review job performance shortly after completion of tasks.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
I ensure financial transactions are recorded accurately and completely.
I maximize the efficient use of scarce resources such as time and money.
You analyze data and information from several sources and arrives at logical conclusions.
I build complex financial models to project future revenues, expenses, and cash flows based on historical data and assumptions.
I look at problems from different perspectives and viewpoints.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You achieve goals.
You understand and contribute to development of strategic goals.
You make sure that team members have a clear idea of our group's 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 adopt the implementation of new technology into the workplace.
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.
You use technology in decision making and problem solving.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
You help customers feel they are receiving services tailored specifically to their needs.
I create new and innovative products for customers.
I am competent in handling difficult customers.
You maintain strong relationships with customers.
You make customer's needs a top priority.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You are prepared to walk away if core interests are not met.
You are resolute when stating priorities and non-negotiables.
You know where to stand firm and where to compromise.
You justify viewpoints using strong and credible data.
I am able to distinguish and navigate between different negotiation strategies and styles.
Others	Definite Strength	Meets Standards	Needs Development	N/A
You treat others with respect and dignity.
You are able to see issues from others' perspectives.
You support the efforts of other employees in implementing solutions to problems.
You constructively receive criticism and suggestions from others.
You consistently demonstrate ability and willingness to trust others.

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.