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 exercise good judgment by making sound and informed decisions.
You effectively choose appropriate courses of action.
You take into account the impact decisions will have on others.
You seek input from key people who should be involved in, or will be affected by, decisions
You have a good rapport other people which is helpful in making decisions on the team.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You complete tasks ahead of schedule.
You do not procrastinate.
You prioritize new tasks according to your relative importance.
You prioritize tasks to identify immediate and long-term objectives.
You leave time in the schedule for unplanned contingencies.
Interpersonal Skills	Definite Strength	Meets Standards	Needs Development	N/A
You value the opinions of others.
You use tact, compassion, and sensitivity in interactions with others.
You apply appropriate communication techniques to the situation.
You anticipate the concerns of other employees.
You demonstrate compassion and understanding of others.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You communicate with department leadership
You deal with difficult situations calmly and confidently.
You give clear and convincing presentations.
You deliver well-prepared, informed, poised and succinct presentations.
You deliver influential presentations.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You implement changes as a result of having listened to employees
You encourage others to adopt new procedures.
You adapt to new organizational structures, policies, or procedures.
You are open to alternative ways to accomplish goals
You are willing to try new ideas.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete work on time
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
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
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You accurately perceive the emotional reactions of others.
You are able to manage your own emotions.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
You are able to express yourself clearly.
You are able to control your own emotions.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You recognize and value good performance.
You review job performance shortly after completion of tasks.
You measure performance of goals and objectives.
You continuously measures performance and provides feedback to employees regularly.
You ensure employees understand their performance expectations.
Responsible	Definite Strength	Meets Standards	Needs Development	N/A
You set a good example.
You act as a resource without removing individual responsibility.
You set high personal standards of performance.
You take personal responsibility for results.
You hold yourself accountable to goals / objectives
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
You anticipate business cycles and trends and makes adjustments in a timely manner.
You formulate strategies and action plans to ensure successful completion of goals and objectives.
You identify root causes of problems.
You analyze unique issues or problems impacting the Company.
You implement long-term solutions to problems.
Global Perspective	Definite Strength	Meets Standards	Needs Development	N/A
You attend training seminars and conferences to increase skills in working with others globally.
You build working relationships with others across cultures.
You respect individual differences.
You are able to work with others from different cultures and countries.
You volunteer for experiences and assignments abroad.

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.