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.

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.

Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
You take immediate action toward goals.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are able to focus on a task even when working alone.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You are committed to the team.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You hold team accountable to meeting goals.
You hold employees accountable through regular performance reviews.
I set clear expectations for performance.
You do not make excuses for missed deadlines.
I regularly lead the way when helping the team troubleshoot various issues.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You protect the integrity and confidentiality of information
You foster an environment built upon trust.
You maintain strong relationships with others.
You demonstrate honesty and truthfulness at all times.
You establish relationships of trust, honesty, fairness, and integrity.
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 are contributing fully to the extent of your skills
You keep yourself up-to-date of technical/professional issues
You quickly acquire and apply new knowledge and skills when needed
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 manage your own emotions.
You accurately perceive the emotional reactions of others.
You are able to express yourself clearly.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You establish the sequence of steps needed to complete the project.
You estimate the time needed for each phase of the project.
You create the communications that will be used throughout the project's implementation.
I inspire the project implementation team to achieve success.
You establish communication protocols for messaging team members and stakeholders.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You encourage and empower subordinates to use initiative in achieving goals and objectives.
You set clear and reasonable expectations for others and follow through on their progress.
You assign tasks to create learning opportunities for the employees.
You tell subordinates what to do, not how to do it.
You allow employees to decide how they wish to complete the tasks.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You conduct timely follow-up; keeps others informed on a need to know basis.
You establish and document goals and objectives.
You make sure that team members have a clear idea of our group's goals.
You achieve established goals.
You understand and contribute to development of strategic goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You support employee training and development initiatives regarding implementation of technology.
You maximize the use of new technology to deliver products and services.
You support technical training and development of employees.
You understand and are committed to implementing new technologies.
You adopt the implementation of new technology into the workplace.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You encourage others to attend safety training.
You identify predictable hazards in the workplace.
You mitigate hazards and safety issues that arise.
You are aware of osha safety guidelines.
You encourage others to work safely.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
I am competent in handling difficult customers.
I am consistent in services provided to customers.
You obtain feedback to ensure customer needs are being met.
I create an environment that enables customers to receive excellent service.
You develop good rapport and trust with the customer.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You are able to say "no" when it is essential to maintaining quality and high standards.
You are able to influence others to accept certain positions.
You leverage relationships with others to achieve goals.
You are able to adapt to changing situations.
You influence others through rational argument and persuasion.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I help the team exercise good judgment by making sound and informed decisions.
You share resources and information with the team.
You encourage dialog between team members.
You promote open communication on the team.
You are open to new ideas that may change own goals for benefit of the team
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You clearly articulate a vision for your work and inspires others to support it
You lead employees in new directions.
You communicate a vision of where the Company needs to be in the future.
You demonstrate consistency between words and actions
You persuade others to follow the Company's vision.

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.