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 give direct, constructive, and actionable feedback.
You motivate others to reach and exceed organizational goals and objectives.
You guide decision-making by coaching, counseling and rewarding.
You motivate and challenges employees to attain a shared vision.
You take ownership and accountability for results
Supervisory Skills	Definite Strength	Meets Standards	Needs Development	N/A
You complete assessments in a timely manner.
I resolve disputes in a way that quickly reaches mutual agreement.
I communicate effectively with employees.
You make decisions based on all relevant information.
I work well with the team members.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
I listen effectively and respond to new information.
You summarize or paraphrase the current question to confirm understanding.
I report progress on goals to the supervisor.
You are able to deliver presentations.
I ensure comprehension during conversations or group presentations.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are open to adapting thoughts, behaviors, and strategies in response to evolving situations and new information.
You navigate ambiguity with ease, maintaining focus and productivity amidst uncertainty.
I embrace issues as opportunities to learn and grow.
I am able to make accommodations needed for changes to the working conditions.
You adapt easily to incorporate various perspectives.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete a large volume of work.
You identify ways to simplify work processes and reduce cycle times
You convey a sense of urgency about addressing problems and opportunities
You complete work on time
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You prioritize various actions to be taken when solving a problem.
You analyze issues and reduce them to their component parts.
You select the appropriate techniques for analysis.
You identify the root cause of a problem.
You implement data validation techniques and methods.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You set high expectations and goals; encourages others to support the organization.
You achieve goals.
You make sure that I have a clear idea of our group's goals.
You make sure that team members have a clear idea of our group's goals.
You establish and document goals and objectives.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You support employee training and development initiatives regarding implementation of technology.
You use technology in decision making and problem solving.
You adopt the implementation of new technology into the workplace.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You support technical training and development of employees.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
I create and implement training courses for new hires to ensure knowledge of regulations and policies.
You comply with regulatory requirements for the state.
You work quickly to implement changes in regulations.
I implement strategies to ensure compliance.
I respond accurately and completely to questions from regulators.
Others	Definite Strength	Meets Standards	Needs Development	N/A
You treat others with respect and dignity.
You are able to see issues from others' perspectives.
You treat others with respect and dignity.
You include others in the decision making processes.
You consistently demonstrate ability and willingness to trust others.
Company	Definite Strength	Meets Standards	Needs Development	N/A
You express loyalty and dedication to [Company] in interactions with others.
You attend [Company] gatherings and social events.
You understand the use of [Company] products and services.
You understand how decisions impact other business units beyond your immediate department of work group.
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.