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 encourage commitment in others to obtain results.
You are committed to the team.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You take immediate action toward goals.
You maintain persistence and dedication to achieving results.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
I willingly accept the consequences for my actions.
You willingly accept the obligation to complete the task.
I am willing to answer for my own actions and performance.
You welcome the responsibility for meeting the broad range of needs of stakeholders and clients.
You define roles, rights, and responsibilities of employees.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You demonstrate sincerity in actions with others.
You protect the integrity and confidentiality of information
You foster a high standard of ethics and integrity.
You develop trust and confidence from others.
You do what was promised.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You are contributing fully to the extent of your skills
You quickly acquire and apply new knowledge and skills when needed
You encourage employees to take courses relevant to their job.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You seek opportunities for professional development.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to control your own emotions.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
You are able to understand others' points of view.
You accurately perceive the emotional reactions of others.
You are able to express yourself clearly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You define project outcomes based on customer requirements.
You assess the ability of the organization to handle the project.
I make sure all team members understand their roles.
You regularly measure and record the progress of the project.
You have detailed knowledge about the project and can adapt the project plan as needed.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You allow employees to decide how they wish to complete the tasks.
You set clear and reasonable expectations for others and follow through on their progress.
You define goals and objectives for subordinates.
You allow subordinates to use their own methods and procedures.
You entrust subordinates with important tasks.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You establish and document goals and objectives.
You conduct timely follow-up; keeps others informed on a need to know basis.
You understand and contribute to development of strategic goals.
You set challenging stretch goals
You achieve established goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You understand and are committed to implementing new technologies.
You are proficient in the use of technical systems and processes.
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.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You participate in safety training when offered.
You are committed to safety in the workplace.
You are aware of osha safety guidelines.
You create accurate and effective measures of safety.
You encourage others to attend safety training.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
I am committed to resolving customer issues in a positive way.
I promptly respond to customers.
You look for opportunities that have a positive impact on customers.
You set an example for excellent customer relations.
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.
You know where to stand firm and where to compromise.
You are resolute in positions to better withstand pressure and resist making hasty concessions.
You are able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
You persuade the other party of the benefits of our proposals.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You share resources and information with the team.
I find opportunities to recognize and reward team members.
You demonstrate an understanding of other team member's viewpoints.
You create opportunities to learn with other team members
You relate to all kinds of people tactfully
Vision	Definite Strength	Meets Standards	Needs Development	N/A
I am skilled in developing and realizing a comprehensive organizational vision.
I stay ahead of the curve to guide my team towards innovative solutions and strategic decisions.
I develop a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.
You cultivate an environment that embodies the department's vision.
You entrust team members with executing the 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.