Leadership - 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.

Leadership

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

1. You set clear goals and objectives for subordinates.

2. You are a leader within the department.

3. You are able to increase the performance of under-performing employees.

4. You seek input and ideas from employees by involving them in decisions.

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

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

Delegation

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

6. You ensure delegated tasks are completed on time.

7. You allow subordinates to use their own methods and procedures.

8. You delegate tasks, responsibilities, and accountability as appropriate.

9. You allow employees to decide how they wish to complete the tasks.

10. You tell subordinates what to do, not how to do it.

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

Decision Making

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

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

12. You are able to make decisions quickly.

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

14. You ask for additional information when making critical decisions.

15. 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?

Collaboration

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

16. You meet with appropriate counterparts in negotiations as needed.

17. You work with others to resolve differences.

18. You are honest with others.

19. You are willing to work with others to solve problems.

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

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

Conflict Management

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

21. You discuss conflict situations with supervisor.

22. You identify and takes steps to prevent potential confrontations.

23. You try to understand others' point of view before making judgments

24. You clearly express expectations to others.

25. You help employees to think through alternative ways to resolve conflict situations.

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

Business Acumen

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

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

27. You understand complex issues and problems.

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

29. You effectively develop and use resources (people, time, money, supplies, equipment, and space) to improve organizational performance

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

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

Organizational Fluency

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

31. You are able to explain departmental policies and procedures to others.

32. You understand departmental policies and procedures.

33. You understand the current organizational culture.

34. You are aware of other organizational cultures to compare/contrast with the current organizational culture.

35. You get things done through the department.

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

Vision

Clear
Strength

Capable
and
Effective

Could
Benefit from
Development

Needs
Significant
Improvement

36. You expresse the Company vision in a way that is easily understood and adopted by employees.

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

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

39. You develop action plans to align your work with the goals of the organization

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

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.