Goals - 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.

Goals	Definite Strength	Meets Standards	Needs Development	N/A
You set challenging stretch goals
You achieve goals.
You achieve established goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You establish and document goals and objectives.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You prioritize tasks to identify immediate and long-term objectives.
You avoid distractions in the workplace.
You leave time in the schedule for unplanned contingencies.
You complete tasks ahead of schedule.
You use agendas when chairing or facilitating meetings.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You offer training to employees to ensure they are complying with regulations.
You work quickly to implement changes in regulations.
You maintain historical records and documents as needed/required.
You create documents and reports as needed to maintain compliance with regulations.
You review skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You coach others and provides feedback on the use of different oral communication styles for different audiences
You an effective listener who is responsive to information needs.
You choose the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
You communicate effectively with all levels of the organization.
You ask follow-up questions as needed.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You implement changes as a result of having listened to employees
You are willing to try new ideas.
You encourage others to adopt new procedures.
You work effectively during periods of change.
You adapt to new organizational structures, policies, or procedures.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You seek and utilize opportunities for continuous learning and self-development.
You display high energy and enthusiasm on consistent basis.
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You complete a large volume of work.
You convey a sense of urgency about addressing problems and opportunities
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You establish indicators to measure levels of performance.
You ensure team members receive rewards for positive performance accomplishments.
You address poor performance sooner rather than later.
You review job performance shortly after completion of tasks.
You adjust performance goals as needed to meet the demands of the department/organization.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
You implement and use performance measures.
You are able to develop, justify and present a budget.
You accurately implement contract provisions.
You are enthusiastic about taking on challenging projects.
You have strong organizational skills to keep the workspace and department in order
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
You support the successes of other employees.
You set performance objectives for subordinates that encourages development opportunities.
You are open to receiving feedback.
You try to ensure employees are ready to move to the next level.
You assign tasks and responsibilities to develop skills of others.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You are able to explain departmental policies and procedures to others.
You are able to use corporate politics to advance department objectives.
You understand the current organizational culture.
You adept at navigating within the culture of the department.
You get things done through the department.

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.