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.

Self Management	Definite Strength	Meets Standards	Needs Development	N/A
You step away from a situation to process appropriate response.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You consciously control own negative emotions in order to keep team morale up.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
You grasp new ideas, concepts, technical, or business knowledge.
You build on your strengths while addressing your weaknesses.
You pursue learning that will enhance job performance.
You are open to new ideas and concepts.
I view setbacks as opportunities to learn from.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
You accept the views of others.
You actively seek feedback from others.
You are visible and approachable.
You seek feedback to enhance performance.
You are open to the suggestions of others.
Attitude	Definite Strength	Meets Standards	Needs Development	N/A
You contribute to a positive and fun work environment.
You treat all people fairly and with respect.
You work to eliminate unnecessary work or barriers that get in others' way.
You contribute to a positive work environment.
You are gracious and professional in your interactions with others.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
I keep an open mind towards innovative concepts ensuring managers are continuously exploring potential growth avenues.
You build upon the ideas and solutions of others.
You promote innovation as an opportunity to gain competitive advantages in the marketplace.
You pursue innovative approaches to the current policies and procedures.
I foster a culture of creativity and curiosity by actively listening to and considering new ideas and opportunities.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
I exhibit exceptional adaptability in responding to unexpected challenges.
You are willing to try new ideas.
I innovate skills and modify behaviors to remain flexible in addressing important issues.
I encourage open communication and collaboration, allowing everyone to contribute their ideas and perspectives.
You embrace change and is willing to pivot strategies based on new information.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You display high energy and enthusiasm on consistent basis.
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You motivate others to achieve or exceed goals
You encourage risk taking and experimentation to improve performance
You complete work on time
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
I successfully complete critical tasks within deadlines.
I order tasks based on impact and urgency.
I usually work at a fast pace to get more done.
You start meetings on time.
I prepare to-do lists for the project tasks.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You can be counted on to add value wherever you are involved.
You demonstrate the analytical skills to do your job.
You produce high quality work.
You keep yourself and others focused on constant improvement.
You are planful and organized.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You participate in safety training when offered.
You support safety programs and procedures.
You are not afraid to question a potential safety issue observed in the workplace.
You ensure compliance with safety regulations.
You develop safety guidelines for the department.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You come across as a reliable, committed team member
You appreciate the input from other team members.
You act as an effective team player
You are able to adjust to changes in the composition of the team.
You help the team decide what long term goals need to be met.
Company	Definite Strength	Meets Standards	Needs Development	N/A
You understand the use of [Company] products and services.
You impress upon others the important aspects of [Company].
You express loyalty and dedication to [Company] in interactions with others.
You understand how decisions impact other business units beyond your immediate department of work group.
You understand the "basics" as to how [Company] functions/operates.

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.