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
You recognize the problem that needs to be solved.
You have a work ethic with a strong desire to obtain results.
I complete all required coursework.
I adapt to disruptions in the supply chain to maintain production levels.
You do not become distracted by non-issues or interruptions.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You are able to organize work.
You work well in this position.
You produce quality
You shown significant improvement in job performance.
You have great overall performance
Action	Definite Strength	Meets Standards	Needs Development	N/A
You will take action to address a problem rather than to wait to confer with others about the situation.
I assign tasks to team members based on their strengths.
You work quickly to get the job done.
I maintain a sense of urgency in daily work routines.
I create innovative products and services.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You keep yourself up-to-date of technical/professional issues
You seek opportunities for professional development.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You allow employees to fully participate in employee training and professional development.
You quickly acquire and apply new knowledge and skills when needed
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
You are open to receiving feedback.
You provide constructive feedback to others.
You encourage employees through recognition of positive changes in behavior.
You create a work environment that fosters positive feedback to employees.
You assign tasks and responsibilities to develop skills of others.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
You remain calm and composed under pressure to think clearly and respond appropriately to unforeseen challenges.
You weigh the pros and cons of proposed solutions.
I identify the specific resources required to tackle different aspects of a problem and then assign the resources where they'll have the greatest impact.
I analyze both the potential risks and benefits associated with each proposed solution.
You select operating indicators to track organizational performance over time and communicate current status to the organization
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You set time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
I successfully complete critical tasks within deadlines.
I usually work at a fast pace to get more done.
You regularly deliver results on-time.
I am committed to finishing the most important tasks.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
You accept setbacks and challenges as improvement opportunities
You are able to reduce staff turnover.
I take calculated risks to achieve difficult goals.
I am able to reduce department expenses by 25 percent.
I set performance metrics to measure achievement or attainment of goals.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You communicate ideas and facts clearly and effectively in writing.
You avoid stating unclear or conflicting goals.
You clearly define work objectives for employees.
You adjust communication methods to the needs of the audience.
You communicate with clarity and efficiency.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You build and maintain the trust of others.
You work in a way that makes others want to work with you.
You take ownership, deliver on commitments
You communicate an understanding of the other person's interests, needs and concerns.
You deliver on promises made.

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.