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 demonstrate enthusiasm and a willingness to learn new skills and knowledge
You seek opportunities for continuous learning.
You quickly acquire and apply new knowledge and skills when needed
You keep yourself up-to-date of technical/professional issues
You allow employees to fully participate in employee training and professional development.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
You maintain strong relationships with others.
You always conduct yourself in an honest and upfront manner
You foster a high standard of ethics and integrity.
You do not withhold important information needed by 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 align the department's goals with the goals of the organization.
You make sure that employees understand and identify with the team's mission.
You maintain focus when handling several problems or tasks simultaneously.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You develop action items, workplans, timelines, and criteria for projects.
You inspire others to accomplish goals and objectives.
You organize work and sets priorities as needed.
You work with customers and clients to assess your needs and define project parameters.
You maintain costs and expenses within budget limits.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You complete high-priority work within required timelines.
You complete tasks ahead of schedule.
You do not become flustered by deadlines and timelines.
You set clearly defined goals.
You keep and maintain a To-Do list.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
You do not become distracted by non-issues or interruptions.
You embrace setbacks and challenges as opportunities to learn.
You hold employees accountable for completing required work.
You help others when free-time is available.
You stay focused on meeting the needs of customers.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You tackle issues head on and finds solutions.
You act like an owner when they make decisions.
You take responsibility for results.
You accept responsibility for outcomes.
You define roles, rights, and responsibilities of employees.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You create accurate and effective measures of safety.
You participate in safety training as applicable.
You develop a culture of safety.
You are not afraid to question a potential safety issue observed in the workplace.
You encourage others to attend safety training.
Recognition	Definite Strength	Meets Standards	Needs Development	N/A
You find opportunities to recognize others.
You reinforce and reward employees for accomplishing necessary goals.
You recognize individuals for a specific outstanding achievement.
You offer recognition in a timely manner.
You make people around them feel appreciated and valued.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You lead employees in new directions.
You demonstrate consistency between words and actions
You work to support the strategy of [Company]
You develop action plans to align your work with the goals of the organization
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.