Self-Management - 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.

Self Management	Definite Strength	Meets Standards	Needs Development	N/A
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You step away from a situation to process appropriate response.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You analyze interpersonal problems instead of reacting to them.
You use patience and self-control in working with customers and associates.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
You take charge of your training and skills enhancement.
You are open to new ideas and concepts.
You share best practices with others and learn from others.
I view setbacks as opportunities to learn from.
You build on your strengths while addressing your weaknesses.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
You share past experiences with others as learning opportunities.
You are visible and approachable.
You are easy to approach with ideas and opinions.
You are open to the suggestions of others.
You accept the views of others.
Attitude	Definite Strength	Meets Standards	Needs Development	N/A
You build open and trusting relationships.
You contribute to a positive and fun work environment.
You visibly support and encourages diversity in style and background.
You are gracious and professional in your interactions with others.
You treat all people fairly and with respect.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
You encourage open communication to ensure that all proposals are considered.
You search for opportunities and innovative ways to improve the organization.
You implement best practices within the department.
You create improved methods or solutions for meeting goals and objectives.
You solve problems with insight and understanding.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
I effectively manage changes in financial resources.
You are able to produce a wide range of products/services to meet demands.
I innovate skills and modify behaviors to remain flexible in addressing important issues.
I adapt the onboarding experience to meet the unique needs of each new employee.
I embrace issues as opportunities to learn and grow.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You display high energy and enthusiasm on consistent basis.
You encourage risk taking and experimentation to improve performance
You complete work on time
You seek and utilize opportunities for continuous learning and self-development.
You motivate others to achieve or exceed goals
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You are good at keeping track of time and avoiding getting behind schedule.
I maximize time management by multitasking.
I prefer to utilize automated workflows.
I successfully complete critical tasks within deadlines.
You prioritize new tasks according to your relative importance.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You produce high quality work.
You keep yourself and others focused on constant improvement.
You demonstrate the analytical skills to do your job.
You can be counted on to add value wherever you are involved.
You demonstrate the functional or technical skills necessary to do your job.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You develop a strong safety culture.
You encourage others to attend safety training.
You are aware of osha safety guidelines.
You ensure that all supervisors are aware of regulatory and compliance measures.
You commit adequate resources toward safety measures.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
I facilitate effective teamwork during periods of change.
You are an effective team player
You encourage open communication
You identify and resolves conflicts within the team to increase team effectiveness
I work with other team members to identify bottle necks in the production process.
Company	Definite Strength	Meets Standards	Needs Development	N/A
You express loyalty and dedication to [Company] in interactions with others.
You impress upon others the important aspects of [Company].
You attend [Company] gatherings and social events.
You understand the use of [Company] products and services.
You follow existing procedures and processes.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.