Creativity - 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.

Creativity	Definite Strength	Meets Standards	Needs Development	N/A
You are creative and inspirational.
You develop solutions to challenging problems.
You add value to the department/organization.
You inspire creativity in your team.
You create a lot of new ideas.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You work effectively during periods of change.
You are able to adapt to new situations.
You are open to the perspectives/viewpoints of others.
You adapt to circumstances as needed.
You can handle changes without complaining.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are attentive to emotional cues and interprets others' feelings correctly.
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.
You are able to control your own emotions.
You accurately perceive the emotional reactions of others.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You review job performance shortly after completion of tasks.
You address poor performance sooner rather than later.
You set long and short term goals.
You assess employee performance against defined standards.
You make sure commitments are understood and met.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You identifiy opportunities for progress and innovation.
You identify the root cause of a problem.
You identify problems and issues needing resolution.
You analyze issues and reduce them to their component parts.
You implement data validation techniques and methods.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You make sure that I have a clear idea of our group's goals.
You achieve goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
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 maximize the use of new technology to deliver products and services.
You understand and are committed to implementing new technologies.
You are proficient in the use of technical systems and processes.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You use technology in decision making and problem solving.
Objectives	Definite Strength	Meets Standards	Needs Development	N/A
You effectively organize resources and plans
You consistently provide me with timely feedback for improving my performance.
You establish goals and objectives.
You assure [Company] principles are understood, employed & pursued.
You communicate goals and objectives to employees.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
You provide ongoing feedback to co-workers on your development progress
You work to identify root causes of performance problems
You give others development opportunities through project assignments and increased job responsibilities
You adapt coaching and mentoring approach to meet the style or needs of individuals
You take immediate action on poor performance
Strategic Focus	Definite Strength	Meets Standards	Needs Development	N/A
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You communicate goals and objectives to employees.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You understand your role within the organization.
You focus attention on treating the causes of problems rather than simply addressing the symptoms.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.