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 are more likely to recognize employees for good performance rather than to criticize them for a performance problem

2. You demonstrate effective leadership talent and skills

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

4. You provide structure.

5. You actively listen for feedback from subordinates.

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 effectively balance delegation and supervision of employees.

7. You set clear and reasonable expectations for others and follow through on their progress.

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

9. You entrust subordinates with important tasks.

10. You select appropriate individuals to complete tasks.

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 determine the constraints that may impact what decisions are acceptable.

12. You come across as confident, decisive, and resilient

13. You make decisions based on novel interpretations of the facts.

14. You effectively choose appropriate courses of action.

15. You are aware of the impact of decisions and informs others about potential outcomes.

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 display a high degree of trust and credibility.

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

18. You define shared goals with the committee members.

19. You work with other experts to solve problems.

20. You consult with other partners on issues.

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

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

23. You deal effectively with employee grievances.

24. You assist team members by helping them see the other point of view.

25. You clearly express expectations to others.

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

27. I understand our competitors and their strengths and weaknesses.

28. You view problems from a business perspective, opportunity, investment, risks, and anticipated results

29. You interpret data to make informed business decisions.

30. You can effectively interpret and analyze market data.

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 adept at navigating within the culture of the department.

32. You anticipate problems that may affect the department.

33. You are able to use corporate politics to advance department objectives.

34. You are effective in communicating with others within the organization.

35. You are able to deal with sensitive issues with tact and professionalism.

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 demonstrate consistency between words and actions

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

38. You lead employees in new directions.

39. You create a positive vision of the future for the Company.

40. You communicate a vision of where the Company needs to be in the future.

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.