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.

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.

Responsible	Definite Strength	Meets Standards	Needs Development	N/A
You set a good example.
You set high personal standards of performance.
Your behavior is ethical and honest.
You hold yourself accountable to goals / objectives
You are a person others can trust.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You assign tasks to create learning opportunities for the employees.
You allow subordinates to use their own methods and procedures.
You set clear and reasonable expectations for others and follows through on your progress.
You allow employees to decide how they wish to complete the tasks.
You define goals and objectives for subordinates.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
You exercise good judgment by making sound and informed decisions.
You ask for additional information when making critical decisions.
You break complex issues into manageable parts and organize them in a systematic way before making decisions
You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
You ensure employees understand what is being assigned to them.
You trust employees are able to complete assigned tasks.
You allow individuals to be responsible for their decisions.
You avoid micromanaging your employees.
You are aware of the skill levels of others.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You are an effective team player
You encourage teamwork and collaboration.
You create a climate that encourages team participation.
You communicate a clear message that teamwork and collaboration are expected.
You actively participates in the work of teams; seek and listen to others' contributions
Creativity	Definite Strength	Meets Standards	Needs Development	N/A
You create a lot of new ideas.
You develop solutions to challenging problems.
You conceive, implement and evaluate ideas.
You add value to the department/organization.
You inspire creativity in your team.
Punctuality	Definite Strength	Meets Standards	Needs Development	N/A
You start meetings on time.
You conduct appointments at scheduled start time.
You arrive to meetings on time.
You respond to requests for information in a timely manner.
You start the workday when scheduled.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
You seek information from others as needed.
You are knowledgeable of procedures or systems necessary for the job.
You know how to produce high quality products/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.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You are clear about goals that need to be achieved.
You make sure goals and objectives are clearly and thoroughly explained and understood.
You maintain clarity in goals and objectives.
You communicate ideas and facts clearly and effectively in writing.
You check details thoroughly.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You are able to explain departmental policies and procedures to others.
You adept at navigating within the culture of the department.
You are effective in communicating with others within the organization.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
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.