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.

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Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
I clearly define roles and expectations.
You anticipate customer need and adjust workflows to ensure satisfaction.
You establish clear performance standards and reinforce them through regular feedback.
You are willing to take on new assignments to help increase production.
I develop detailed action plans with measurable deliverables and deadlines.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You shown significant improvement in job performance.
You have great overall performance
You set a high standard for job performance.
You listen and respond to issues and problems
You are able to organize work.
Action	Definite Strength	Meets Standards	Needs Development	N/A
You are not afraid to take corrective action when necessary.
I ensure that the team's tasks align with its overall objectives.
I rapidly adapt to changes in the situation.
I persist in work despite obstacles encountered.
I establish the tasks and direction for the team.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You keep yourself up-to-date of technical/professional issues
You seek opportunities for professional development.
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 provide constructive feedback to others.
You encourage employees through recognition of positive changes in behavior.
You assess employees' developmental needs.
You support the successes of other employees.
You recognize and celebrates accomplishments of others.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
I involve the department in the problem-solving process to foster a sense of collective responsibility and investment in the outcome.
You are a versatile problem-solver with a wide range of tools and techniques at their disposal to apply them appropriately to different situations.
I ensure that team members have the necessary training and are informed about best practices and procedures.
I identify all stakeholders who need to be kept informed about the action plan and its progress.
You are open to the suggestions of others when working on a problem.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You utilize batch workflows to reduce time spent on certain tasks.
I frequently arrive early to start the day.
I work quickly to keep on schedule.
You are productive for the majority of time spent during the day.
You integrate automation into the process whenever feasible.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
You maintain high performance standards.
You inspire others to work with a sense of urgency.
I prioritize time management and coordination, ensure high-value tasks are address efficiently.
I set performance metrics to measure achievement or attainment of goals.
You set ambitious standards of performance.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You clearly explains responsibilities to individuals.
You write clear job descriptions for positions in the organization.
You communicate with clarity and efficiency.
You avoid creating ambiguity or mixed messages.
You clarify problems and their causes to help employees correct them.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You are trustworthy; is someone that can be trusted.
You demonstrate congruence between statements and actions.
You take care to maintain confidential information.
You communicate an understanding of the other person's interests, needs and concerns.
You consistently keep commitments.

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.