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 quickly acquire and apply new knowledge and skills when needed
You seek opportunities for professional development.
You encourage employees to take courses relevant to their job.
You are contributing fully to the extent of your skills
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You deliver on promises and meets obligations.
You follow tasks to completion.
You foster a high standard of ethics and integrity.
You maintain the confidentiality of others.
You protect the integrity and confidentiality of information
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
You help guide employees with prioritizing tasks.
You function well under stress, deadlines, and/or significant workloads.
You set appropriate goals for employees.
You stay focused even when under pressure and stress.
You maintain self-control when personally criticized.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You ensure resources are utilized at the appropriate levels for each phase of the project.
I outline the key objectives for the project.
You ensure that the project remains at or under budget.
You foster an environment that promotes collaboration among team members.
I prepare and utilize QC Checklists to ensure high quality.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You are able to get the important jobs done on time.
I prepare to-do lists for the project tasks.
I prioritize major tasks over smaller ones.
You utilize batch workflows to reduce time spent on certain tasks.
I allocate time to the highest priority items.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
You work toward achievement of goals even when confronted with obstacles.
You translate plans into specific assignments for branch management team
I am motivated by a strong desire to exceed performance standards.
You respond to changing events to maintain progress toward achieving results.
You complete work on time.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You accept responsibility for leading efforts to solve critical problems.
You consistently exhibit professionalism in interactions with employees.
I provide clear reasons for underperformance.
You take responsibility for the team's actions and results.
You handle sensitive information with discretion and confidentiality.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You develop a sustainable safety culture.
You ensure that all supervisors are aware of regulatory and compliance measures.
You support our company's safety programs.
You participate in safety training when offered.
You support safety programs and procedures.
Recognition	Definite Strength	Meets Standards	Needs Development	N/A
You make people around them feel appreciated and valued.
You find opportunities to recognize others.
You recognize the abilities and skills of self and others
You recognize individuals for a specific outstanding achievement.
You reinforce and reward employees for accomplishing necessary goals.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You can formulate and implement the organization's vision.
You commit to undertaking the implementation of the strategic vision.
I guide employees to prioritize crucial components of the vision.
I am able to formulate and implement a vision for the future of the department.
You ensure that work is systematically aligned and coordinated with the organization's vision.

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.