Leadership - 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.

Leadership	Definite Strength	Meets Standards	Needs Development	N/A
You are a highly effective supervisor.
You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
You are able to influence others.
You set specific, measurable, and challenging goals.
You recognize individual and team accomplishments and reward them appropriately.
Supervisory Skills	Definite Strength	Meets Standards	Needs Development	N/A
You encourage good working relationships between employees.
I understand the importance of good performance management.
I set a good example for others to follow.
I maintain a calm demeanor when addressing stressful issues in the workplace.
I have a strong work ethic that inspires others.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You are able to deliver presentations.
You convey ideas confidently and succinctly.
You check for understanding throughout conversations or group presentations/discussions
You listen to others' points of view with an open mind
You communicate effectively with all levels of the organization.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You implement changes as a result of having listened to employees
You are effective in incorporating new ideas.
You are open to the perspectives/viewpoints of others.
You can handle changes without complaining.
You work effectively during periods of change.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You encourage risk taking and experimentation to improve performance
You motivate others to achieve or exceed goals
You display high energy and enthusiasm on consistent basis.
You complete a large volume of work.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You prioritize various actions to be taken when solving a problem.
You ask the "right" questions to size up or evaluate situations.
You analyze issues and reduce them to their component parts.
You identify the root cause of a problem.
You select the appropriate techniques for analysis.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You make sure that team members have a clear idea of our group's goals.
You establish and document goals and objectives.
You make sure that I have a clear idea of our group's goals.
You understand and contribute to development of strategic goals.
You set challenging stretch goals
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You apply complex rules and regulations to maintain optimal system performance.
You support employee training and development initiatives regarding implementation of technology.
You maximize the use of new technology to deliver products and services.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You understand and are committed to implementing new technologies.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You are aware of federal and local laws affecting employees.
You offer training to employees to ensure they are complying with regulations.
You work quickly to implement changes in regulations.
You address issues quickly before they develop into major problems.
You keep informed of various regulations and procedures.
Others	Definite Strength	Meets Standards	Needs Development	N/A
You work across boundaries within the organization.
You include others in the decision making processes.
You are able to see issues from others' perspectives.
You respect the opinions of other employees.
You are able to see issues from others' perspectives.
Company	Definite Strength	Meets Standards	Needs Development	N/A
You follow existing procedures and processes.
You attend [Company] gatherings and social events.
You understand how decisions impact other business units beyond your immediate department of work group.
You express loyalty and dedication to [Company] in interactions with others.
You impress upon others the important aspects of [Company].

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.