Decision Making - 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.

Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
You effectively choose appropriate courses of action.
I have enough self-control to avoid making impulsive decisions.
You learn from previous bad decisions and rarely repeat them.
You have a good rapport other people which is helpful in making decisions on the team.
I facilitate meetings with others to try to consider alternative courses of action.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You prioritize completion of high-impact assignments.
I initially focus on high priority items.
You usually work with a sense of urgency.
You work on critical tasks as quickly as possible.
I allow for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
Interpersonal Skills	Definite Strength	Meets Standards	Needs Development	N/A
You strive for win/win solutions
You give good advice and suggestions to coworkers.
You communicate well at all levels of the organization.
You provide constructive feedback in a way that fosters acceptance and development.
You value the opinions of others.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You present issues, ideas, and strategy concisely and clearly.
You an effective listener who is responsive to information needs.
You coach others and provides feedback on the use of different oral communication styles for different audiences
You listen to others' points of view with an open mind
You have the confidence to communicate effectively to all levels (from ceo down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You can handle changes without complaining.
You are open to alternative ways to accomplish goals
You are able to adapt to new situations.
You adapt to new organizational structures, policies, or procedures.
You are open to the perspectives/viewpoints of others.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You seek and utilize opportunities for continuous learning and self-development.
You encourage risk taking and experimentation to improve performance
You motivate others to achieve or exceed goals
You display high energy and enthusiasm on consistent basis.
You complete a large volume of work.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to express yourself clearly.
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 are able to control your own emotions.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You address performance issues as soon as possible.
I monitor performance on a regular basis.
You establish measures of performance.
I encourage employees to take additional training in areas where they had low performance scores.
You address poor performance sooner rather than later.
Responsible	Definite Strength	Meets Standards	Needs Development	N/A
You set a good example.
You set a good example
Your behavior is ethical and honest.
You hold yourself accountable to goals / objectives
You act as a resource without removing individual responsibility.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
I develop a strategic vision for the future.
You develop a plan and strategy for each functional area within the mission statement.
I inspire employees to adopt the strategic plan.
You identify root causes of problems.
You adjust strategic plans based on insights gathered from different points of view.
Global Perspective	Definite Strength	Meets Standards	Needs Development	N/A
You volunteer for experiences and assignments abroad.
You respect individual differences.
You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
You are able to listen and understand others and discuss issues in a respectful way.
You understand and appreciate the perspectives offered by others with different cultural backgrounds.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.