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.

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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Self Management	Definite Strength	Meets Standards	Needs Development	N/A
You consciously control own negative emotions in order to keep team morale up.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You do not allow own emotions to interfere with the performance of others.
You step away from a situation to process appropriate response.
You use patience and self-control in working with customers and associates.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
You pursue learning that will enhance job performance.
You are open to new ideas and concepts.
You share best practices with others and learn from others.
You pursue professional development opportunities when they arise.
You participate in regular training offered.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
I offer both positive and negative feedback to provide a well round assessment of the individual.
You accept the views of others.
You offer the necessary resources, education, and assistance to ensure feedback is effective, prompt, and practical.
I foster a culture of continuous improvement, where feedback is use as a valuable tool for growth and development.
I assist employees in converting their feedback results into actionable items.
Attitude	Definite Strength	Meets Standards	Needs Development	N/A
I refrain from sarcasm, judgment, or belittling remarks in conversations.
I remain positive even when working with individuals who have poor attitudes.
You engage in empathetic listening without interrupting others or posturing in front of a group.
You share lessons learned with the team to prevent recurring mistakes and strengthen performance.
I participate in planning and facilitating team-building activities or staff recognition events.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
I participate in cross-functional innovation teams.
You improve on ideas of others.
You challenge current procedures / processes to develop new solutions.
I assign responsibilities to individuals for creating innovative ideas/products.
I encourage a diverse range of ideas and perspectives to cultivate an environment where innovation thrives.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
I am able to increase output to meet increased demand.
You scale up production capabilities in response to growing service demands.
You encourage others to adopt new procedures.
You are open to adapting thoughts, behaviors, and strategies in response to evolving situations and new information.
You respond to issues and problems with creative solutions and innovation.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You provide regular progress update and keep everyone inform about any change or developments.
I persist until tasks are 100% completed.
I do not wait for approvals unless absolutely necessary.
You seize opportunities to engage in action on a project.
You initiate the commencement of work on projects.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
I tackle major tasks or problems first before addressing minor issues.
I focus time on the tasks that yield the highest value.
You focus on tasks that have high priority.
I keep accurate records of time spent on projects for proper billing.
You integrate automation into the process whenever feasible.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You keep yourself and others focused on constant improvement.
You produce high quality work.
You are planful and organized.
You can be counted on to add value wherever you are involved.
You demonstrate the analytical skills to do your job.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You ensure that all supervisors are aware of regulatory and compliance measures.
You are committed to safety in the workplace.
You create accurate and effective measures of safety.
You are not afraid to question a potential safety issue observed in the workplace.
You encourage others to work safely.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You provide assistance and support to other team members when needed
I regularly attend team meetings.
You encourage dialog between team members.
You carry your share of the workload
You seek and listen to other's contributions
Company	Definite Strength	Meets Standards	Needs Development	N/A
You create opportunities for peer learning and knowledge sharing across the team.
You make sure everyone knows their role and how it connects to others.
You support [Company]'s marketing efforts.
I align departmental strategies with the company's long-term vision and objectives.
You create a workspace conducive to productivity through effective control of lighting, temperature, and noise levels.

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.