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 coach others to foster an environment which can adapt quickly and willingly to rapid change.
You complete work on time
You display high energy and enthusiasm on consistent basis.
You encourage risk taking and experimentation to improve performance
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You communicate effectively with colleagues and customers
You deliver influential presentations.
You address issues of key importance to stakeholders.
You check for understanding throughout conversations or group presentations/discussions
You communicate effectively with all levels of the organization.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are effective in incorporating new ideas.
You are able to adapt to new situations.
You identify new opportunities to achieve goals
You adapt to new organizational structures, policies, or procedures.
You are open to the perspectives/viewpoints of others.
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 attentive to emotional cues and interprets others' feelings correctly.
You are able to manage your own emotions.
You accurately perceive the emotional reactions of others.
You are able to express yourself clearly.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You establish indicators to measure levels of performance.
You set and maintain high standards for self and others.
You adjust performance goals as needed to meet the demands of the department/organization.
You establish standards for expected performance.
You review job performance shortly after completion of tasks.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You analyze data and information from several sources and arrives at logical conclusions.
You identify the root cause of a problem.
You implement data validation techniques and methods.
You balance risks and costs with the reward and probabilities of success when decisions.
You identifiy opportunities for progress and innovation.
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 establish and document goals and objectives.
You set challenging stretch goals
You conduct timely follow-up; keeps others informed on a need to know basis.
You achieve established goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You use technology in decision making and problem solving.
You apply complex rules and regulations to maintain optimal system performance.
You understand and are committed to implementing new technologies.
You support employee training and development initiatives regarding implementation of technology.
You maximize the use of new technology to deliver products and services.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
You put customer's needs first.
I maintain up-to-date information regarding customer products.
I identify the core needs of the customer.
You build trust with the customer.
I make sure customer needs are understood by the team members.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You are able to influence others to accept certain positions.
You are able to clearly express thoughts and concerns.
You change communication styles to meet the listener's needs.
You are able to control your emotional responses and correctly gauge the emotions of others.
You are able to say "no" when it is essential to maintaining quality and high standards.
Others	Definite Strength	Meets Standards	Needs Development	N/A
You are able to see issues from others' perspectives.
You include others in the decision making processes.
You support the efforts of other employees in implementing solutions to problems.
You are able to see issues from others' perspectives.
You work across boundaries within the organization.

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.