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 are contributing fully to the extent of your skills
You seek opportunities for continuous learning.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You seek opportunities for professional development.
You quickly acquire and apply new knowledge and skills when needed
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You maintain high standard of excellence when dealing with ethical, legal, or regulatory issues.
You always conduct yourself in an honest and upfront manner
You are consistently open and honest with others.
You foster a high standard of ethics and integrity.
You demonstrate honesty and truthfulness at all times.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
You stay focused even when under pressure and stress.
You make sure that employees understand how their work relates to organizational goals.
You make sure that employees understand and identify with the team's mission.
You function well under stress, deadlines, and/or significant workloads.
You maintain self-control when personally criticized.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You develop action items, workplans, timelines, and criteria for projects.
You organize, plan, and direct resources to accomplish the goals and objectives.
You organize work and sets priorities as needed.
You maintain costs and expenses within budget limits.
You regularly review project performance and goals.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You keep and maintain a To-Do list.
You set clearly defined goals.
You do not become flustered by deadlines and timelines.
You leave time in the schedule for unplanned contingencies.
You avoid distractions in the workplace.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
You set challenging personal and organizational goals.
You help others when free-time is available.
You hold employees accountable for completing required work.
You do not become distracted by non-issues or interruptions.
You work toward achievement of goals even when confronted with obstacles.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You are someone who is trustworthy.
You require employees provide you with advanced warning on problems and issues that they know will affect completion of tasks.
You take ownership of mistakes and learn from them.
You are someone who is there when others are in need.
You create a consistent process for prioritizing work.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You participate in safety training when offered.
You identify and addresses safety needs.
You point out behaviors in others that may be unsafe.
You ensure that all supervisors are aware of regulatory and compliance measures.
You create accurate and effective measures of safety.
Recognition	Definite Strength	Meets Standards	Needs Development	N/A
You recognize individuals for a specific outstanding achievement.
You compliment other people when they do good work
You offer recognition in a timely manner.
You say "thank you" to show appreciation for work of others.
You reinforce and reward employees for accomplishing necessary goals.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You create a common vision for others.
You persuade others to follow the Company's vision.
You understand the vision of the Company and promote it ahead of any self-interests.
You communicate a vision of where the Company needs to be in the future.
You create a positive vision of the future for the Company.

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.