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

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.