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.

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Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You are contributing fully to the extent of your skills
You keep yourself up-to-date of technical/professional issues
You seek opportunities for continuous learning.
You seek opportunities for professional development.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You do the right thing even when negative consequence may result.
You demonstrate a commitment to corporate and personal values.
You deliver on promises and meets obligations.
You are consistently open and honest with others.
You maintain high standard of excellence when dealing with ethical, legal, or regulatory issues.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
You maintain self-control when personally criticized.
You align the department's goals with the goals of the organization.
You maintain focus when handling several problems or tasks simultaneously.
You are excellent at managing time.
You stay focused even when under pressure and stress.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
I can change the implementation of specific phases of the project to mitigate certain risks.
I communicate with all employees involved on the project.
You determine the correct order for the phases of the project.
You create the communications that will be used throughout the project's implementation.
You assess the ability of the organization to handle the project.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
I successfully complete critical tasks within deadlines.
You achieve more work within the limited time constraints.
I use a journal, log, or schedule to keep track of how much time is spent doing each task.
You use a team and delegate tasks to specialists to help get more work done within the same amount of time.
You prioritize completion of high-impact assignments.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
I promptly and efficiently complete assigned tasks.
You pursues performance benchmarks despite obstacles and setbacks.
You set challenging personal and organizational goals.
I determine the proper order for completion of the tasks.
I complete urgent tasks first.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
I regularly lead the way when helping the team troubleshoot various issues.
You understand the importance of holding employees accountable for their work.
You take full responsibility for project outcomes.
You welcome the responsibility for meeting the broad range of needs of stakeholders and clients.
I expect employees to account for their actions and performance.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You are aware of osha safety guidelines.
You support our company's safety programs.
You develop safety guidelines for the department.
You ensure that all supervisors are aware of regulatory and compliance measures.
You identify and addresses safety needs.
Recognition	Definite Strength	Meets Standards	Needs Development	N/A
You reinforce and reward employees for accomplishing necessary goals.
You compliment other people when they do good work
You say "thank you" to show appreciation for work of others.
You make people around them feel appreciated and valued.
You readily share credit and gives others opportunity for visibility.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You express the Company vision in a way that is easily understood and adopted by employees.
You analyze data and industry patterns to forecast opportunities and challenges.
You understand the vision of the Company and promote it ahead of any self-interests.
You bring the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of the organization.
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.