Project Management - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Self-Assessment Form Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. All Leadership Team Members will be participating at this time.

In this regard, you need to complete a self-assessment questionnaire form (below).
Your responses will be combined with the responses from your peers and direct reports. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Project Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You develop action items, workplans, timelines, and criteria for projects.
You regularly review project performance and goals.
You define project outcomes based on customer requirements.
You maintain costs and expenses within budget limits.
You organize work and sets priorities as needed.
If you were to make improvements in Project Management, what are your suggestions for how you can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You are able to organize work.
You set long-term and short-term goals.
You establish goals and objectives.
You effectively organize resources and plans
You work toward achieving established goals and objectives.
If you were to make improvements in Objectives, what are your suggestions for how you can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You analyze interpersonal problems instead of reacting to them.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
If you were to make improvements in Self Management, what are your suggestions for how you can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You are easy to approach with ideas and opinions.
You actively seek feedback from others.
You ask others for their ideas and opinions.
You accept the views of others.
You seek feedback to enhance performance.
If you were to make improvements in Feedback, what are your suggestions for how you can improve this?
Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You take personal responsibility for results.
Your behavior is ethical and honest.
You are a person others can trust.
You act as a resource without removing individual responsibility.
You set high personal standards of performance.
If you were to make improvements in Responsible, what are your suggestions for how you can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You provide assistance and support to other team members when needed
You are an effective team player
You build consensus and share relevant information.
You act as an effective team player
You seek and listen to other's contributions
If you were to make improvements in Teamwork, what are your suggestions for how you can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
You maintain knowledge of current trends in the industry.
You analyze records and reports to obtain insight into potential issues and trends.
You identify potential problems before they become critical incidents.
You identify root causes of problems.
If you were to make improvements in Strategic Insight, what are your suggestions for how you can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.