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 take personal responsibility for results.
You set high personal standards of performance.
You hold yourself accountable to goals / objectives
You set a good example.
You are a person others can trust.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You delegate authority and responsibility to subordinates and holds them accountable for your actions.
You tell subordinates what to do, not how to do it.
You allow employees to decide how they wish to complete the tasks.
You entrust subordinates with important tasks.
You define the roles, responsibilities, required actions, and deadlines for team members.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
I am able to make decisions quickly.
You ask for additional information when making critical decisions.
You decide which long-term goals should be met.
You determine the constraints that may impact what decisions are acceptable.
You take into account the impact decisions will have on others.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
You distribute the workload to subordinates.
I allow the team to take responsibility for the project.
I allow employees the freedom to do tasks how they see fit, but hold them accountable for obtaining results.
You give employees the freedom to set their own schedule.
You set clear goals for assignments.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I am willing to listen to the ideas of other team members.
You willingly share your technical expertise
You support open communication between team members.
You carry your share of the workload
I help the team to bounce back from obstacles.
Creativity	Definite Strength	Meets Standards	Needs Development	N/A
You conceive, implement and evaluate ideas.
You are creative.
You are creative and inspirational.
You develop solutions to challenging problems.
You create a lot of new ideas.
Punctuality	Definite Strength	Meets Standards	Needs Development	N/A
You maintain an efficient schedule of activities.
You start meetings on 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 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 use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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 write clear job descriptions for positions in the organization.
You avoid creating ambiguity or mixed messages.
You communicate with clarity and efficiency.
You use appropriate grammar and tense in communications.
You check details thoroughly.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You understand departmental policies and procedures.
You are able to deal with sensitive issues with tact and professionalism.
You understand the current organizational culture.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You anticipate problems that may affect 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.