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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You seek and utilize opportunities for continuous learning and self-development.
You convey a sense of urgency about addressing problems and opportunities
You identify ways to simplify work processes and reduce cycle times
You encourage risk taking and experimentation to improve performance
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You present issues, ideas, and strategy concisely and clearly.
You are able to deliver presentations.
You have the confidence to communicate effectively to all levels (from ceo down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
You give clear and convincing presentations.
You deliver well-prepared, informed, poised and succinct presentations.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are open to alternative ways to accomplish goals
You act decisively in frequently changing and uncertain environment.
You are open to the perspectives/viewpoints of others.
You implement changes as a result of having listened to employees
You identify new opportunities to achieve goals
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
You are attentive to emotional cues and interprets others' feelings correctly.
You accurately perceive the emotional reactions of others.
You are able to understand others' points of view.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
I establish indicators to measure levels of performance.
I determine the operational standards needed for performance of the job.
You inform team members how their performance compares to stated goals.
You address performance issues as soon as possible.
I increase responsibilities for high performing individuals.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You use appropriate techniques to solve problems.
You identify problems and issues needing resolution.
You identifiy opportunities for progress and innovation.
You select the appropriate techniques for analysis.
You analyze issues and reduce them to their component parts.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You set high expectations and goals; encourages others to support the organization.
You make sure that team members have a clear idea of our group's goals.
You achieve established goals.
You make sure that I have a clear idea of our group's goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You understand and are committed to implementing new technologies.
You adopt the implementation of new technology into the workplace.
You maximize the use of new technology to deliver products and services.
You support employee training and development initiatives regarding implementation of technology.
You support technical training and development of employees.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
I take the initiative in solving difficult customer issues.
I create an environment that enables customers to receive excellent service.
I exceed expectations of the customers.
You look for opportunities that have a positive impact on customers.
I make sure customer needs are understood by the team members.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You establish good working relationships with others.
You research the needs of the other party to identify strengths and weaknesses of positions.
You are able to say "no" when it is essential to maintaining quality and high standards.
You are able to decline bad ideas to avoid making poor decisions.
You maintain communication channels between parties in the negotiation.
Others	Definite Strength	Meets Standards	Needs Development	N/A
You are able to see issues from others' perspectives.
You respect the opinions of other employees.
You work across boundaries within the organization.
You treat others with respect and dignity.
You work effectively with people from other departments.

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.