Decision Making - 360 Degree Feedback Survey Sample #2

Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going 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.

Please ensure that your submission is made between . The survey will only be available during these dates.

Decision Making

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

1. You exercise good judgment by making sound and informed decisions.

2. You break complex issues into manageable parts and organize them in a systematic way before making decisions

3. You assess the risks, benefits, and potential impact of a number of options when deciding a course of action

4. You seek input from key people who should be involved in, or will be affected by, decisions

5. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently

What are your suggestions for how you can make improvements
in Decision Making?

Leadership

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

6. You foster an environment that values initiative and creativity.

7. You motivate and challenges employees to attain a shared vision.

8. You coach others and prepares them for current and future business demands.

9. You focus team efforts on meeting the needs of the customers.

10. You inspire, encourage, and guide others toward the vision, mission, and goals.

What are your suggestions for how you can make improvements
in Leadership?

Collaboration

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

11. You value others in decision making.

12. You readily share information with other group members.

13. You respect individual differences that contribute to solving problems.

14. You create an environment where others feel comfortable sharing knowledge and information.

15. You encourage collaboration of fellow employees to achieve results.

What are your suggestions for how you can make improvements
in Collaboration?

Persuasion and Influence

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

16. You are able to express own goals and needs.

17. You develop a good rapport with others.

18. You have excellent influencing/negotiating skills.

19. You communicate effectively with others.

20. You ensure stakeholders are involved in the decision making process.

What are your suggestions for how you can make improvements
in Persuasion and Influence?

Clarity

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

21. You seek to reduce ambiguity in messaging and documents.

22. You are clear about goals that need to be achieved.

23. You use appropriate grammar and tense in communications.

24. You are clear about the roles and duties of team members.

25. You communicate with clarity and efficiency.

What are your suggestions for how you can make improvements
in Clarity?

Negotiation

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

26. You establish good working relationships with others.

27. You stay calm and focus on the core issues to be discussed.

28. You are able to control your emotional responses and correctly gauge the emotions of others.

29. You establish clear communications to avoid misunderstandings.

30. You actively listen to conversations to be able to recall important details later.

What are your suggestions for how you can make improvements
in Negotiation?

Business Acumen

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

31. You consider impact of actions on other areas of the organization.

32. You apply the knowledge of work processes to influence the achievement of business goals

33. You are able to align resources to meet the business needs of the company.

34. You understand complex issues and problems.

35. You ask the 'right' questions to size up or evaluate situations.

What are your suggestions for how you can make improvements
in Business Acumen?

Vision

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

36. You understand the vision of the Company and promote it ahead of any self-interests.

37. You lead employees in new directions.

38. You work to support the strategy of [Company]

39. You communicate the vision and strategy of [Company]

40. You demonstrate consistency between words and actions

What are your suggestions for how you can make improvements
in Vision?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.