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 coordinate all department activities into a cohesive team effort.
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 committed to the team.
You are able to focus on a task even when working alone.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
I honor the commitments and promises made to customers/clients.
I take full responsibility for results.
You are personally invested in the success of the organization.
You encourage employees to take on greater responsibilities.
You hold yourself and others accountable for meeting the deadline.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
I promote a culture of honesty and integrity, encouraging individuals to report questionable activities without fear of reprisal.
You are willing to issue product recalls if necessary.
You foster a culture of responsibility and accountability within the organization to ensure that all actions align with the company's values and legal obligations.
You foster a high standard of ethics and integrity.
You foster trust within the company and with external partners by owning up to mistakes.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You keep yourself up-to-date of technical/professional issues
You quickly acquire and apply new knowledge and skills when needed
You seek opportunities for professional development.
You are contributing fully to the extent of your skills
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to understand others' points of view.
You accurately perceive the emotional reactions of others.
You are able to manage your own emotions.
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 maintain costs and expenses within budget limits.
You successfully negotiated contracts with suppliers.
I locate the equipment and supplies needed for the project.
You are able to adjust project schedule as needed to accommodate unforeseen issues.
You coordinate timelines, events and tasks with various sub-groups within the project.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
I have an understanding and an awareness of how to perform tasks that are delegated to others.
I supply necessary tools and guidance so delegate work drive meaningful contributions to team goals.
You discuss new task assignments during one-on-one meetings.
I provide written documentation or visual aids to reinforce expectations and reduce misinterpretation.
When delegating tasks, I match responsibilities to both the employee's skill and affinity.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You systematically follow a structured plan so that progress is consistently monitored and adjustments are made as necessary.
You make sure that I have a clear idea of our group's goals.
You break down larger goals into smaller, manageable milestones with their own timelines.
You provide constructive feedback and offer assistance when needed to help the team achieve its 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 understand and are committed to implementing new technologies.
You apply complex rules and regulations to maintain optimal system performance.
You adopt the implementation of new technology into the workplace.
You support technical training and development of employees.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You encourage others to work safely.
You develop a culture of safety.
You keep accurate safety records.
You mitigate hazards and safety issues that arise.
You seek to reduce the likelihood of accidents.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
I treat every customer interaction as an opportunity to build trust and goodwill.
You help raise the tone or energy of the team through positive customer interactions.
You are honest in all communication with the customers.
You get feedback from the customer on a weekly basis.
I ensure communication with customers is honest and transparent.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You conduct necessary preparations before engaging in negotiations.
I can make initial offers based on high aspirations conveying a robust BATNA (Best Alternative to a Negotiated Settlement).
I use the motivations of each party to identify mutually advantageous solutions.
You adjust methods to suit the current situation.
You ensure a thorough understanding of key issues and priorities.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I listen and am attentive to other team members.
I make decisions that support the team's goals and objectives.
You carry your share of the workload
I express appreciation for the work of other team members.
You actively participates as a team member
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You develop and execute a strategic vision for the organization.
You ensure that work is systematically aligned and coordinated with the organization's vision.
You are devoted to carrying out the strategic vision.
You plan a roadmap for the department's growth and expansion.
I focus subordinates' work on critical aspects of 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.