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.

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.

Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
You respond to changing events to maintain progress toward achieving results.
I determine the proper order for completion of the tasks.
You strive to achieve high volume of output.
You encourage employees to give 100% to achieving high results.
You provide clear expectations for employees.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You set a high standard for job performance.
You listen and respond to issues and problems
You are able to organize work.
You are effective in performing your job.
You have great overall performance
Action	Definite Strength	Meets Standards	Needs Development	N/A
I act immediately instead of waiting for someone else to solve the issue.
You decide to act rather than remain passive.
I persist in work despite obstacles encountered.
I am ambitious when working on the project.
You start immediately working on assignments.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You allow employees to fully participate in employee training and professional development.
You seek opportunities for professional development.
You seek opportunities for continuous learning.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You keep yourself up-to-date of technical/professional issues
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
You encourage employees through recognition of positive changes in behavior.
You assess employees' developmental needs.
You assign tasks and responsibilities to develop skills of others.
You recognize and celebrates accomplishments of others.
You set performance objectives for subordinates that encourages development opportunities.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
You are able to balance the needs of different people in a solution to a problem.
You actively seek the root cause of a problem.
You identify fresh approaches and shows a willingness to question traditional assumptions.
You work cooperatively with others to solve problems.
You are a good problem solver and decision maker
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
I use limited time efficiently.
I process items in the inbox instead of letting them accumulate.
I stay focused on the job.
I arrive to (attend) meetings on time.
I allocate time to the highest priority items.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
You eliminate bureaucratic barriers to streamline processes.
I create impactful reports for the re-organization committee.
You hold others to high standards of achievement.
You successfully complete the orientation training program.
You take calculated risks.
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 clarify problems and their causes to help employees correct them.
You use appropriate grammar and tense in communications.
You make sure goals and objectives are clearly and thoroughly explained and understood.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You communicate an understanding of the other person's interests, needs and concerns.
You build and maintain the trust of others.
You are trustworthy; is someone that can be trusted.
You take ownership, deliver on commitments
You work in a way that makes others want to work with you.

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.