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 organize, plan, and direct resources to accomplish the goals and objectives.
You assign project roles to the team members.
You locate the financial resources to budget for the project.
I add the necessary time buffers to avoid the project getting behind schedule.
I estimate the staffing requirements for 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 consistently provide me with timely feedback for improving my performance.
You effectively organize resources and plans
You work toward achieving established goals and objectives.
You are able to organize work.
You organize and schedules events, activities, and resources.
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 set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You do not allow own emotions to interfere with the performance of others.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You analyze interpersonal problems instead of reacting to them.
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 are easy to approach with ideas and opinions.
You ask others for their ideas and opinions.
You are visible and approachable.
You consider other's opinion and suggestions.
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 hold yourself accountable to goals / objectives
You are a person others can trust.
You set a good example.
You work in a way that makes others want to work with you.
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
I help the team make effective business decisions by ensuring the correctness of Company's reports/resources.
You work cooperatively with others to solve problems.
You share pertinent information with all members of the team.
I work with other team members on the project.
I establish good rapport with team members.
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 create strategies that significantly benefit the Company.
I observe employees at work to get better insight into the issues they are dealing with.
I develop a strategic vision for the future.
You analyze records and reports to obtain insight into potential issues and trends.
I recognize the needs of customers.
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.