Results Oriented - 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.

Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
You are focused on achieving important goals.
You encourage employees to give 100% to achieving high results.
You identify the steps needed to accomplish the results.
You recognize the problem that needs to be solved.
You are highly motivated to complete tasks despite obstacles that may arise.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You effectively organize resources and plans
You produce quality
You have great overall performance
You set a high standard for job performance.
You shown significant improvement in job performance.
Action	Definite Strength	Meets Standards	Needs Development	N/A
I create innovative products and services.
I take action to respond to dissatisfied customers.
You decide to act rather than remain passive.
You fixe problems when they occur.
I do not procrastinate when there is a job to be done.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You are contributing fully to the extent of your skills
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You encourage employees to take courses relevant to their job.
You quickly acquire and apply new knowledge and skills when needed
You allow employees to fully participate in employee training and professional development.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
You develop employees by offering and encouraging them to take on new or additional responsibilities.
You are open to receiving feedback.
You try to ensure employees are ready to move to the next level.
You assess employees' developmental needs.
You support the successes of other employees.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
You find creative ways to get things done with limited resources.
You identify fresh approaches and shows a willingness to question traditional assumptions.
You make judgments based upon relevant information.
You generate alternative solutions to problems and challenges.
You can develop innovative solutions to problems.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You are productive for the majority of time spent during the day.
I delegate simple tasks to employees so I can focus on more complex tasks.
I emphasize punctuality in the department and make sure employees know they are expected to be on time.
You anticipate problems and resolve them before they negatively impact the schedule.
I maintain precise time logs for billing.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
You hold others to high standards of achievement.
You accept setbacks and challenges as improvement opportunities
You set challenging goals.
You take reasonable risks to achieve desired results.
You take immediate action of projects that fall behind schedule.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You maintain clarity in goals and objectives.
You clearly define work objectives for employees.
You are clear about the roles and duties of team members.
You make sure goals and objectives are clearly and thoroughly explained and understood.
You seek to reduce ambiguity in messaging and documents.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You communicate an understanding of the other person's interests, needs and concerns.
You consistently keep commitments.
You demonstrate a sense of responsibility and commitment to public trust.
You take care to maintain confidential information.
You are a person others can count on.

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.