Commitment to Result - 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 To Result	Definite Strength	Meets Standards	Needs Development	N/A
You are able to focus on a task even when working alone.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You maintain persistence and dedication to achieving results.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You encourage commitment in others to obtain results.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
I am prepared and on time for meetings and scheduled events.
I exhibit a sense of ownership of the process.
I recognize when a mistake is made and work to correct the issue.
You encourage employees to take on greater responsibilities.
You take responsibility for results.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You protect the integrity and confidentiality of information
You foster a high standard of ethics and integrity.
You do what was promised.
You establish relationships of trust, honesty, fairness, and integrity.
You foster an environment built upon trust.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You seek opportunities for continuous learning.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You allow employees to fully participate in employee training and professional development.
You are contributing fully to the extent of your skills
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 help to make decisions and solve problems using knowledge about how others will react in certain situations.
You are able to manage your own emotions.
You are able to express yourself clearly.
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 identify potential risks to completing the project on time.
I determine the project scope.
You implement risk mitigation strategies to help move the project to successful completion.
I hold team members accountable for completing specific tasks on the project.
I determine the appropriate strategy for mitigating specific risks.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You define goals and objectives for subordinates.
You encourage and empower subordinates to use initiative in achieving goals and objectives.
You define the roles, responsibilities, required actions, and deadlines for team members.
You set clear and reasonable expectations for others and follow through on their progress.
You delegate authority and responsibility to subordinates and holds them accountable for your actions.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You establish and document goals and objectives.
You make sure that team members have a clear idea of our group's goals.
You make sure that I have a clear idea of our group's goals.
You understand and contribute to development of strategic goals.
You achieve goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You understand and are committed to implementing new technologies.
You support employee training and development initiatives regarding implementation of technology.
You support technical training and development of employees.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You apply complex rules and regulations to maintain optimal system performance.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You perform work safely.
You identify predictable hazards in the workplace.
You develop a culture of safety.
You develop a strong safety culture.
You mitigate hazards and safety issues that arise.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
You thoroughly understand the needs of the customer.
You get feedback from the customer on a weekly basis.
You look for opportunities that have a positive impact on customers.
I fulfill commitments made to customers.
I am responsive to customer needs.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
I foster a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
I establish a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
You are able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
You are able to express themselves in a clear, convincing, and logical manner.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I ask other team members to share their opinions.
You emphasize the importance of getting individuals to work as a team
I make decisions that positively impact team performance.
I work with other team members to achieve objectives.
You foster an environment that promotes active listening on the team.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
I can chart a bold course for the department's evolution.
You develop an inspiring and ambitious vision of growth for the organization's future.
I define a roadmap for realizing the organization's vision.
You delegate the task of implementing the vision to subordinates.
You are skilled at recognizing various issues that arise and formulate practical and strategic solutions to resolve them efficiently.

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.