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 convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You coordinate all department activities into a cohesive team effort.
You take immediate action toward goals.
You are able to focus on a task even when working alone.
You maintain persistence and dedication to achieving results.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You accept accountability for your actions and results.
You keep you supervisor informed of recent events.
You can be counted on to do what you say you are going to do.
You encourage employees to take on greater responsibilities.
You develop goals and establishes objective measures of success.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You maintain strong relationships with others.
You demonstrate honesty and truthfulness at all times.
You develop trust and confidence from others.
You foster a high standard of ethics and integrity.
You establish relationships of trust, honesty, fairness, and integrity.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
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 allow employees to fully participate in employee training and professional development.
You quickly acquire and apply new knowledge and skills when needed
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You accurately perceive the emotional reactions of others.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
You are able to manage your own emotions.
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.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You are able to adjust project schedule as needed to accommodate unforeseen issues.
You define project outcomes based on customer requirements.
You organize, plan, and direct resources to accomplish the goals and objectives.
You respond quickly and appropriately to unforeseen problems.
You anticipate potential problems and institute controls and contingency plans to address them.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You allow subordinates to use their own methods and procedures.
You clearly define duties and tasks to be completed.
You delegate authority and responsibility to subordinates and holds them accountable for your actions.
You set clear and reasonable expectations for others and follow through on their progress.
You entrust subordinates with important tasks.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You achieve established goals.
You establish and document goals and objectives.
You set challenging stretch goals
You make sure that I have a clear idea of our group's goals.
You understand and contribute to development of strategic goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You apply complex rules and regulations to maintain optimal system performance.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You maximize the use of new technology to deliver products and services.
You support technical training and development of employees.
You are proficient in the use of technical systems and processes.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You are aware of osha safety guidelines.
You develop a strong safety culture.
You mitigate hazards and safety issues that arise.
You create accurate and effective measures of safety.
You work to implement corrective safety measures.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
You get feedback from the customer on a weekly basis.
You make customer's needs a top priority.
I understand what resources are needed to meet customer needs.
You use feedback from customers to help improve services.
You maintain strong relationships with customers.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You research the needs of the other party to identify strengths and weaknesses of positions.
You stay calm and focus on the core issues to be discussed.
You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
You understand the expectations of other parties in the negotiation.
You conduct necessary preparations before engaging in negotiations.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You are an effective team player
You communicate a clear message that teamwork and collaboration are expected.
You recognize and respects the contributions and needs of each individual.
You build consensus and share relevant information.
You coach team on how to solve problems, plan, and meet organizational goals and objectives.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You persuade others to follow the Company's vision.
You create a common vision for others.
You express the Company vision in a way that is easily understood and adopted by employees.
You behave in a way that is consistent with business values & code of conduct
You create a positive vision of the future for the Company.

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.