Professional Development - 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.

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.

Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You seek opportunities for professional development.
You keep yourself up-to-date of technical/professional issues
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You are contributing fully to the extent of your skills
You encourage employees to take courses relevant to their job.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You always conduct yourself in an honest and upfront manner
You accept responsibility for mistakes.
You demonstrate sincerity in actions with others.
You foster an environment built upon trust.
You do the right thing even when negative consequence may result.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
You make sure that employees understand and identify with the team's mission.
You set appropriate goals for employees.
You make sure that employees understand how their work relates to organizational goals.
You align the department's goals with the goals of the organization.
You help guide employees with prioritizing tasks.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You determine the roles for project team members.
You identify potential risks to completing the project on time.
You understand the budget constraints for the project.
You assess the ability of the organization to handle the project.
I implement project metrics to track progress.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
I allocate time to the highest priority items.
I take the initiative to tackle critical issues earlier rather than later.
I maintain precise time logs for billing.
You delegate routine tasks to team members, allowing you to concentrate on more strategic or complex responsibilities.
You make time for developing plans and schedules.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
You recognize the problem that needs to be solved.
I set benchmarks and milestones to measure progress toward the objectives.
I adapt to disruptions in the supply chain to maintain production levels.
You complete work on time.
I achieve performance benchmarks.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You inform supervisor of progress without having to be asked about it.
You take full responsibility for project outcomes.
I take full responsibility for unmet expectations and make corrective actions immediately.
You take ownership of mistakes and learn from them.
You define roles, rights, and responsibilities of the team.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You develop a culture of safety.
You develop a strong safety culture.
You are committed to safety in the workplace.
You perform work safely.
You support safety programs and procedures.
Recognition	Definite Strength	Meets Standards	Needs Development	N/A
You offer recognition in a timely manner.
You make people around them feel appreciated and valued.
You say "thank you" to show appreciation for work of others.
You readily share credit and gives others opportunity for visibility.
You compliment other people when they do good work
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You communicate a vision of where the Company needs to be in the future.
You persuade others to follow the Company's vision.
You work to support the strategy of [Company]
You lead employees in new directions.
You create a common vision for others.

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.