Commitment - 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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Commitment	Definite Strength	Meets Standards	Needs Development	N/A
I demonstrate moral courage, standing firm against pressures that would erode integrity or commitment.
You maintain commitment by framing setbacks as steppingstones, inspiring persistence and resilience in pursuit of long-term goals.
You involve employees in goal-setting discussions, fostering ownership and commitment for departmental objectives.
You connect individual roles to organizational objectives, helping employees see how their work contributes to success.
I cultivate employee commitment to share values that drive productivity and excellence.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
I willingly accept the consequences for my actions.
You consult with the supervisor before engaging in new procedures that have some risk.
You establish who is responsible for various aspects of the project.
You can be counted on to do what you say you are going to do.
You hold team accountable to meeting goals.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You are able to maintain confidential information.
You can be counted on to act ethically and responsibly at all times.
You demonstrate accountability and honesty in business interactions.
You foster a culture of trust and ethical behavior throughout the organization.
You can be trusted by others all the time and in every circumstance.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You seek opportunities for professional development.
You are contributing fully to the extent of your skills
You allow employees to fully participate in employee training and professional development.
You keep yourself up-to-date of technical/professional issues
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to understand others' points of view.
You are able to express yourself clearly.
You are attentive to emotional cues and interprets others' feelings correctly.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You determine the roles for project team members.
I make sure all team members understand their roles.
I identify risks to each phase of the project.
You engage stakeholders and team members in open discussions.
I communicate with the teams often to ensure that the deadlines are met.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
I avoid always giving complex or high-visibility task to the same employees.
You tell subordinates what to do, not how to do it.
You learn and understand tasks completely before delegating them to subordinates.
You facilitate employee understanding and acceptance of the assigned tasks.
I secure employee agreement on the delegated responsibility.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
I am committed to supporting and achieving assigned goals.
You avoid unproductive actions that fail to advance the achievement of the goal.
You set short and long term goals for self without being pushed.
I set realistic dates for the completion of goals.
I offer useful critiques and assistance to colleagues to achieve their objectives.
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 apply complex rules and regulations to maintain optimal system performance.
You support employee training and development initiatives regarding implementation of technology.
You support technical training and development of employees.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You seek to reduce the likelihood of accidents.
You develop a strong safety culture.
You work to implement corrective safety measures.
You commit adequate resources toward safety measures.
You mitigate hazards and safety issues that arise.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
I tailor innovative products for each customer.
You create high quality products for the customers.
I am committed to resolving customer issues in a positive way.
I go above my regular duties to make sure a customer is satisfied.
You ensure customers are comfortable with the services provided.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
I am a proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
I identify tradeable interests that could facilitate reaching a consensus.
You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
I use the motivations of each party to identify mutually advantageous solutions.
You are committed to working with both sides and openly sharing information.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You actively participates as a team member
I build a strong rapport with team members.
You act as an effective team player
You help the team decide what long term goals need to be met.
You promote open communication on the team.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
I create a timeline to fulfill the organization's vision.
I task employees with realizing the vision.
I foster a culture that aligns with the organization's vision.
You ensure that work is systematically aligned and coordinated with the organization's vision.
I can transform the current vision into clear objectives and a strategic roadmap.

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

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

    
    
72. Strengths
    
    
    
73. Areas for Development
    
    
    
74. Please give any final comments or suggestions for [Participant Name Here]'s assessment.