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 understand and contribute to development of strategic goals.
You make sure that team members have a clear idea of our group's goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You establish and document goals and objectives.
You make sure that I have a clear idea of our group's goals.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You complete high-priority work within required timelines.
You make time for developing plans and schedules.
You set clearly defined goals.
You prioritize tasks to identify immediate and long-term objectives.
You prioritize new tasks according to your relative importance.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You perform regular compliance audits.
You create documents and reports as needed to maintain compliance with regulations.
You perform audits regularly, or without notice, to ensure proper compliance with regulations.
You offer training to employees to ensure they are complying with regulations.
You are aware of federal and local laws affecting employees.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You deal with difficult situations calmly and confidently.
You ask follow-up questions as needed.
You deliver information in a clear, concise, and logical manner.
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 are able to demonstrate persuasiveness in pursuit of objectives.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You work effectively during periods of change.
You encourage others to adopt new procedures.
You can handle changes without complaining.
You adapt to circumstances as needed.
You are effective in incorporating new ideas.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You motivate others to achieve or exceed goals
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You convey a sense of urgency about addressing problems and opportunities
You display high energy and enthusiasm on consistent basis.
You seek and utilize opportunities for continuous learning and self-development.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
You ensure team members understand the department goals.
You provide employees with training as needed to increase their performance.
You ensure team members receive rewards for positive performance accomplishments.
You acknowledge employee contributions that support the bottom line.
You set specific and measurable goals for others and follows through to completion.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
You take responsibility for decisions.
You accurately implement contract provisions.
You are able to develop, justify and present a budget.
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 try to ensure employees are ready to move to the next level.
You assign tasks and responsibilities to develop skills of others.
You assess employees' developmental needs.
You recognize and celebrates accomplishments of others.
You create opportunities for professional development.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You understand departmental policies and procedures.
You get things done through the department.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You are able to use corporate politics to advance department objectives.
You are able to deal with sensitive issues with tact and professionalism.

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.