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 ensure that the project remains at or under budget.
You use appropriate technology to efficiently communicate with team members.
I define the project scope, goals, and resources.
You implement risk mitigation strategies to help move the project to successful completion.
You document the risk assessments for different parts of the project.
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 work toward achieving established goals and objectives.
You establish goals and objectives.
You assure [Company] principles are understood, employed & pursued.
You communicate goals and objectives to employees.
You are able to establish realistic goals.
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 deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You use patience and self-control in working with customers and associates.
You analyze interpersonal problems instead of reacting to them.
You consciously control own negative emotions in order to keep team morale up.
You step away from a situation to process appropriate response.
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 actively seek feedback from others.
You look to others for input.
You are open to the suggestions of others.
You accept the views of others.
You consider other's opinion and suggestions.
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 set a good example
You are responsible for setting the vision of the department.
Your behavior is ethical and honest.
You hold yourself accountable to goals / objectives
You set a good example.
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 join with other team members to brainstorm solutions to the problem.
I help the team make good decisions even under conditions of uncertainty.
You emphasize the importance of getting individuals to work as a team
You foster respect and understanding among team members
You make eye contact when listening to colleagues.
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 develop a plan and strategy for each functional area within the mission statement.
I observe employees at work to get better insight into the issues they are dealing with.
You have conversations with customers and clients to get a better insight into their personal needs.
I develop a strategic vision for the future.
You strategically align projects to the goals of the company.
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.