Teamwork- 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.

Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You demonstrate compassion and respect for others through actions; is concerned about their work and non-work issues
You willingly share your technical expertise
You come across as a reliable, committed team member
You communicate a clear message that teamwork and collaboration are expected.
You coach team members
Leadership	Definite Strength	Meets Standards	Needs Development	N/A
You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
You give inspiring presentations or discussions.
You hold others accountable for your actions.
You motivate and challenges employees to attain a shared vision.
You guide decision-making by coaching, counseling and rewarding.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
You work with customers and clients to assess their needs and define project parameters.
You define project outcomes based on customer requirements.
You develop performance measures for various aspects of the project.
You respond quickly and appropriately to unforeseen problems.
You are able to adjust project schedule as needed to accommodate unforeseen issues.
Action	Definite Strength	Meets Standards	Needs Development	N/A
You make effective decisions
You are not afraid to take corrective action when necessary.
You drive and mobilizes others progress toward goals.
You do whatever it takes (within reason) to get the job done.
You make effective decisions, even when under pressure.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
You build upon the ideas and solutions of others.
You suggest new ideas at meetings.
You implement best practices within the department.
You create improved methods or solutions for meeting goals and objectives.
You challenge current procedures to develop other alternatives.
Punctuality	Definite Strength	Meets Standards	Needs Development	N/A
You arrive to meetings on time.
You conduct appointments at scheduled start time.
You start the workday when scheduled.
You avoid making personal phone calls during working hours.
You maintain an efficient schedule of activities.
Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
You switch attention to more urgent tasks when necessary.
You can multitask while performing all of your other responsibilities and activities.
You complete multiple tasks simultaneously.
You determine which tasks are critical and which tasks are optional.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
You willingly share your technical expertise; sought out as resource by others
You seek information from others as needed.
You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You support technical training and development of employees.
You use technology in decision making and problem solving.
You maximize the use of new technology to deliver products and services.
You apply complex rules and regulations to maintain optimal system performance.
You are proficient in the use of technical systems and processes.
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
You meet regularly with employees to coach them on areas that will enhance your performance
You address employee behavior problems effectively.
You develop the skills and capabilities of others.
You conduct regular performance appraisals and feedback.
You provide clear, motivating, and constructive feedback.
Fiscal Management	Definite Strength	Meets Standards	Needs Development	N/A
You develop budgets and plans for various programs and initiatives.
You monitor spending.
You keep excellent records for financial transparency.
You provide budgeting and accounting support to the Company.
You monitor expenses and verify the need for items purchased.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.