Self-Management - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Does not allow own emotions to interfere with the performance of others.
Uses patience and self-control in working with customers and associates.
What are your suggestions for how can make improvements in Self Management?
Passion To Learn	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Holds self and associates accountable for goal achievement.
Actively seeks to learn by asking questions and listening to all store associates.
Persists until goals are achieved and commitments are met.
Is motivated by the desire to be "the best".
Critiques own performance and learns from experience as a source of continuous improvement.
What are your suggestions for how can make improvements in Passion To Learn?
Establishing Focus/Direction	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Makes sure that employees understand and identify with the team's mission.
Maintains self-control when personally criticized.
Sets appropriate goals for employees.
Stays focused even when under pressure and stress.
Excellent at managing time.
What are your suggestions for how can make improvements in Establishing Focus/Direction?
Analytical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Can effectively interpret and analyze data.
Uses appropriate techniques to solve problems.
Asks the "right" questions to size up or evaluate situations.
Actively seeks constructive feedback from others.
Identifies the root cause of a problem.
What are your suggestions for how can make improvements in Analytical?
Flexibility	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Acts decisively in frequently changing and uncertain environment.
Identifies new opportunities to achieve goals
Is open to alternative ways to accomplish goals
Effective in incorporating new ideas.
Can handle changes without complaining.
What are your suggestions for how can make improvements in Flexibility?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes action without being asked.
Prepares for unexpected contingencies.
What are your suggestions for how can make improvements in Initiative?
Results Oriented	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Encourages a high-energy, fun work environment and coaches others on how to do the same
Directs team in prioritizing daily work activities
Works toward achievement of goals even when confronted with obstacles.
Does not become distracted by non-issues or interruptions.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
What are your suggestions for how can make improvements in Results Oriented?
Commitment To Result	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes immediate action toward goals.
Encourages commitment in others to obtain results.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
What are your suggestions for how can make improvements in Commitment To Result?
Developing Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Supports the successes of other employees.
Assigns tasks and responsibilities to develop skills of others.
Sets performance objectives for subordinates that encourages development opportunities.
Encourages employees through recognition of positive changes in behavior.
Recognizes and celebrates accomplishments of others.
What are your suggestions for how can make improvements in Developing Others?
Conflict Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Clearly expresses expectations to others.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Assists team members by helping them see the other point of view.
Discusses conflict situations with supervisor.
What are your suggestions for how can make improvements in Conflict Management?
Business Acumen	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Asks the 'right' questions to size up or evaluate situations.
Able to align resources to meet the business needs of the company.
Applies the knowledge of work processes to influence the achievement of business goals
What are your suggestions for how can make improvements in Business Acumen?
Entrepreneurship	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Exhibits determination and passion in completion of goals.
Devotes a certain amount of time and effort to developing new business opportunities.
Able to adapt the department to changing business demands and climate.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
What are your suggestions for how can make improvements in Entrepreneurship?

61. Strengths
    
    
    
62. Areas for Development
    
    
    
63. Please give any final comments or suggestions for 's assessment.