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.

Responsible	Definite Strength	Meets Standards	Needs Development	N/A
You are a person others can trust.
You complete assigned work tasks.
You set a good example
You take personal responsibility for results.
You hold yourself accountable to goals / objectives
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You tell subordinates what to do, not how to do it.
You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
You define goals and objectives for subordinates.
You entrust subordinates with important tasks.
You assign tasks to create learning opportunities for the employees.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
I decide which short- and long-term goals should be created.
You act confidently in the absence of guidance.
I am open to listening to others who may have different ideas.
I make good decisions for the Department.
I examine for patterns in data to help predict future possibilities.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
I give employees the authority to act on their own.
You provide support and resources needed to accomplish goals.
You express confidence in the abilities of others.
I create a culture where employees are given the opportunity to take the initiative and make impactful decisions.
I allow employees the opportunity to take time off when needed.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I help the team to bounce back from obstacles.
I establish good rapport with team members.
You relate to all kinds of people tactfully
You demonstrate compassion and respect for others through actions; is concerned about their work and non-work issues
I make decisions that support the team's goals and objectives.
Creativity	Definite Strength	Meets Standards	Needs Development	N/A
You create a lot of new ideas.
You conceive, implement and evaluate ideas.
You are creative and inspirational.
You add value to the department/organization.
You develop solutions to challenging problems.
Punctuality	Definite Strength	Meets Standards	Needs Development	N/A
You avoid making personal phone calls during working hours.
You invoice clients on a timely basis.
You maintain an efficient schedule of activities.
You conduct appointments at scheduled start time.
You arrive to meetings on time.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
You seek information from others as needed.
You willingly share your technical expertise; sought out as resource by others
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 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.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You clearly explain the vision and goals of the company.
You are clear about the roles and duties of team members.
You maintain clarity in goals and objectives.
You clearly explains responsibilities to individuals.
You provide a clear vision for the future.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You get things done through the department.
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.
You are adept at navigating within the culture of 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.