Responsibility - 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. If you gave a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to you at the next leadership seminar to help guide your ongoing professional development.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Responsible	Definite Strength	Meets Standards	Needs Development	N/A
You are a person others can trust.
You set a good example.
Your behavior is ethical and honest.
You complete assigned work tasks.
You set high personal standards of performance.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You tell subordinates what to do, not how to do it.
You define goals and objectives for subordinates.
You clearly define duties and tasks to be completed.
You allow subordinates to use their own methods and procedures.
You encourage and empower subordinates to use initiative in achieving goals and objectives.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
I am creative about the decisions I make.
You maintain focus on the "big picture" when making decisions.
I am able to make decisions quickly.
You are firm in your decision and not easily influenced by the whims of others.
You make decisions independently (without having to be told what or how).
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
I include others in the decision making process.
You express confidence in the abilities of others.
I value the input from others.
I establish goals that allow employees top operate independently in the field.
You give employees the opportunity to make their own decisions at work.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I am committed to the successful completion of team goals.
You willingly share your technical expertise
I focus on understanding the other team member's message.
You create a climate that encourages team participation.
You promote open communication on the team.
Creativity	Definite Strength	Meets Standards	Needs Development	N/A
You conceive, implement and evaluate ideas.
You develop solutions to challenging problems.
You create a lot of new ideas.
You are creative.
You are creative and inspirational.
Punctuality	Definite Strength	Meets Standards	Needs Development	N/A
You maintain an efficient schedule of activities.
You respond to requests for information in a timely manner.
You invoice clients on a timely basis.
You conduct appointments at scheduled start time.
You arrive to meetings on time.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
You demonstrate mastery of the technical competencies required in your work.
You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
You know how to produce high quality products/work.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You avoid stating unclear or conflicting goals.
You provide a clear vision for the future.
You clearly explains responsibilities to individuals.
You are clear about goals that need to be achieved.
You check details thoroughly.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You understand departmental policies and procedures.
You understand the current organizational culture.
You are adept at navigating within the culture of the department.
You are effective in communicating with others within the organization.
You get things done through the department.

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.