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 deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You use patience and self-control in working with customers and associates.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You consciously control own negative emotions in order to keep team morale up.
You analyze interpersonal problems instead of reacting to them.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
You build on your strengths while addressing your weaknesses.
You set relevant learning objectives and goals.
You are open to new ideas and concepts.
You take the initiative to learn new skills.
You seek opportunities to grow in skills and knowledge.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
You look to others for input.
You are visible and approachable.
You share past experiences with others as learning opportunities.
You seek feedback to enhance performance.
You ask others for their ideas and opinions.
Attitude	Definite Strength	Meets Standards	Needs Development	N/A
You contribute to a positive work environment.
You are gracious and professional in your interactions with others.
You contribute to a positive and fun work environment.
You treat all people fairly and with respect.
You visibly support and encourages diversity in style and background.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
You create new and efficient processes.
You challenge assumptions about the way things work.
You challenge existing work processes/products to enhance value.
I focus on bottom-up innovative efforts.
I participate in cross-functional innovation teams.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
I adapt processes and procedures in response to changes in the work environment.
You incorporate new skills fluently.
You are willing to change strategies, operations, or processes in to meet new challenges or seize new opportunities.
You are flexible in adjusting to the demands of the market place.
I am flexible in my approach to dealing with unpredictable events.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You seek and utilize opportunities for continuous learning and self-development.
You motivate others to achieve or exceed goals
You convey a sense of urgency about addressing problems and opportunities
You identify ways to simplify work processes and reduce cycle times
You complete a large volume of work.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You integrate automation into the process whenever feasible.
You stay focused on the most important tasks that need completed.
You avoid distractions in the workplace.
I arrive to (attend) meetings on time.
You leverage calendars to help keep better track of events.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You take a lot of pride in your work.
You demonstrate the functional or technical skills necessary to do your job.
You demonstrate the analytical skills to do your job.
You keep yourself and others focused on constant improvement.
You produce high quality work.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
You identify predictable hazards in the workplace.
You participate in safety training when available.
You develop a sustainable safety culture.
You are aware of osha safety guidelines.
You are not afraid to question a potential safety issue observed in the workplace.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You give constructive advice to other team members.
I am able to work closely other team members who are considered to be difficult to work with.
You encourage dialog between team members.
You build relationships across boundaries and with key stakeholders by developing informal and formal networks.
You contribute to and supports team decision-making process
Company	Definite Strength	Meets Standards	Needs Development	N/A
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.
You follow existing procedures and processes.
You attend [Company] gatherings and social events.
You understand the use of [Company] products and services.

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.