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 maintain persistence and dedication to achieving results.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You are committed to the team.
You encourage commitment in others to obtain results.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You fully embrace the responsibilities that contribute to our departmental success.
I consistently strive to meet high standards of excellence.
I take full responsibility for lack of results achieved.
I provide clear reasons for underperformance.
You can be counted on to do what you say you are going to do.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You foster an environment built upon trust.
You foster a high standard of ethics and integrity.
You accept responsibility for mistakes.
You develop trust and confidence from others.
You demonstrate honesty and truthfulness at all times.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You seek opportunities for professional development.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You encourage employees to take courses relevant to their job.
You seek opportunities for continuous learning.
You are contributing fully to the extent of your skills
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You accurately perceive the emotional reactions of others.
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.
You are able to understand others' points of view.
You are attentive to emotional cues and interprets others' feelings correctly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You establish communication protocols for messaging team members and stakeholders.
I identify the project time and budget constraints.
I identify critical requirements for each phase of the project.
You successfully negotiated contracts with suppliers.
You outline key project dates and milestones.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You allow subordinates to use their own methods and procedures.
You define goals and objectives for subordinates.
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 entrust subordinates with important 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 make sure that I have a clear idea of our group's goals.
You set challenging stretch goals
You set high expectations and goals; encourages others to support the organization.
You understand and contribute to development of strategic goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You are proficient in the use of technical systems and processes.
You understand and are committed to implementing new technologies.
You adopt the implementation of new technology into the workplace.
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 create accurate and effective measures of safety.
You keep accurate safety records.
You commit adequate resources toward safety measures.
You develop a sustainable safety culture.
You encourage others to work safely.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
I meet with customers on a regular basis.
You consider customers point of view when making decisions.
You are aware of the customer's needs.
I am responsive to customer needs.
I act with integrity in all customer interactions.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
You change communication styles to meet the listener's needs.
I assess the validity and relevance of each piece of information, considering the context and source.
You identify verbal and nonverbal cues to help interpret actions and messages.
I am aware of potential emotional triggers that could negatively impact the negotiations.
You actively listen to conversations to be able to recall important details later.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You coach team members
I consider the impact and implications of decisions on the team.
You foster an environment that promotes active listening on the team.
I encourage other team members to adopt new procedures.
You share pertinent information with all members of the team.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You demonstrate consistency between words and actions
You understand the vision of the Company and promote it ahead of any self-interests.
I detect problems early on and create well-thought-out solutions to ensure the company continues to progress smoothly.
You convert the department's vision into specific goals and a strategic plan.
I recognize potential challenges and devise comprehensive strategies to navigate and mitigate these difficulties.

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.