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.

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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Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You build relationships across boundaries and with key stakeholders by developing informal and formal networks.	Definite Strength	Meets Standards	Needs Development	N/A
You communicate well with team members.	Definite Strength	Meets Standards	Needs Development	N/A
You seek and listen to other's contributions	Definite Strength	Meets Standards	Needs Development	N/A
I work with other team members to achieve objectives.	Definite Strength	Meets Standards	Needs Development	N/A
I listen to other team members without interrupting them.	Definite Strength	Meets Standards	Needs Development	N/A
Leadership	Definite Strength	Meets Standards	Needs Development	N/A
You give direct, constructive, and actionable feedback.	Definite Strength	Meets Standards	Needs Development	N/A
You hold others accountable for your actions.	Definite Strength	Meets Standards	Needs Development	N/A
You set clear goals and objectives for subordinates.	Definite Strength	Meets Standards	Needs Development	N/A
You act decisively in implementing decisions.	Definite Strength	Meets Standards	Needs Development	N/A
You motivate others to reach and exceed organizational goals and objectives.	Definite Strength	Meets Standards	Needs Development	N/A
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
I determine the appropriate strategy for mitigating specific risks.	Definite Strength	Meets Standards	Needs Development	N/A
You outline key project dates and milestones.	Definite Strength	Meets Standards	Needs Development	N/A
You procure the resources necessary to complete the project.	Definite Strength	Meets Standards	Needs Development	N/A
You organize work and sets priorities as needed.	Definite Strength	Meets Standards	Needs Development	N/A
I make sure all team members understand their roles.	Definite Strength	Meets Standards	Needs Development	N/A
Action	Definite Strength	Meets Standards	Needs Development	N/A
I identify needs and take steps to address them.	Definite Strength	Meets Standards	Needs Development	N/A
I rapidly adapt to changes in the situation.	Definite Strength	Meets Standards	Needs Development	N/A
You take advantage of opportunities to move the organization forward.	Definite Strength	Meets Standards	Needs Development	N/A
I overcome obstacles that may impede progress on a task.	Definite Strength	Meets Standards	Needs Development	N/A
I leverage skills and resources to exceed performance expectations.	Definite Strength	Meets Standards	Needs Development	N/A
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
I guide the department's innovation focus.	Definite Strength	Meets Standards	Needs Development	N/A
I use innovation to solve urgent specific problems.	Definite Strength	Meets Standards	Needs Development	N/A
You foster continuous improvement processes.	Definite Strength	Meets Standards	Needs Development	N/A
You develop several approaches or solutions to a problem.	Definite Strength	Meets Standards	Needs Development	N/A
I optimize the innovation process by incorporating feedback and lessons learned from previous experiences.	Definite Strength	Meets Standards	Needs Development	N/A
Punctuality	Definite Strength	Meets Standards	Needs Development	N/A
You conduct appointments at scheduled start time.	Definite Strength	Meets Standards	Needs Development	N/A
You invoice clients on a timely basis.	Definite Strength	Meets Standards	Needs Development	N/A
You arrive to meetings on time.	Definite Strength	Meets Standards	Needs Development	N/A
You maintain an efficient schedule of activities.	Definite Strength	Meets Standards	Needs Development	N/A
You start the workday when scheduled.	Definite Strength	Meets Standards	Needs Development	N/A
Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
You plan and organize continuously while performing all other responsibilities and activities.	Definite Strength	Meets Standards	Needs Development	N/A
You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.	Definite Strength	Meets Standards	Needs Development	N/A
You determine which tasks are critical and which tasks are optional.	Definite Strength	Meets Standards	Needs Development	N/A
You ensure that assignments are prioritized according to the needs of the department/company.	Definite Strength	Meets Standards	Needs Development	N/A
You complete multiple tasks simultaneously.	Definite Strength	Meets Standards	Needs Development	N/A
Technical	Definite Strength	Meets Standards	Needs Development	N/A
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.	Definite Strength	Meets Standards	Needs Development	N/A
You are knowledgeable of procedures or systems necessary for the job.	Definite Strength	Meets Standards	Needs Development	N/A
You willingly share your technical expertise; sought out as resource by others	Definite Strength	Meets Standards	Needs Development	N/A
You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices	Definite Strength	Meets Standards	Needs Development	N/A
You know how to produce high quality products/work.	Definite Strength	Meets Standards	Needs Development	N/A
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You adopt the implementation of new technology into the workplace.	Definite Strength	Meets Standards	Needs Development	N/A
You support employee training and development initiatives regarding implementation of technology.	Definite Strength	Meets Standards	Needs Development	N/A
You are proficient in the use of technical systems and processes.	Definite Strength	Meets Standards	Needs Development	N/A
You support technical training and development of employees.	Definite Strength	Meets Standards	Needs Development	N/A
You identify gaps between actual and needed technical competencies and provide recommendations for required training.	Definite Strength	Meets Standards	Needs Development	N/A
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
You help employees to maintain high personal standards.	Definite Strength	Meets Standards	Needs Development	N/A
You provide clear, motivating, and constructive feedback.	Definite Strength	Meets Standards	Needs Development	N/A
You help employees to understand responsibilities, authority, and expectations.	Definite Strength	Meets Standards	Needs Development	N/A
You develop the skills and capabilities of others.	Definite Strength	Meets Standards	Needs Development	N/A
You meet regularly with employees to coach them on areas that will enhance your performance	Definite Strength	Meets Standards	Needs Development	N/A
Fiscal Management	Definite Strength	Meets Standards	Needs Development	N/A
You monitor spending.	Definite Strength	Meets Standards	Needs Development	N/A
You keep excellent records for financial transparency.	Definite Strength	Meets Standards	Needs Development	N/A
You ensure others follow the correct rules and regulations on fiscal matters.	Definite Strength	Meets Standards	Needs Development	N/A
You provide budgeting and accounting support to the Company.	Definite Strength	Meets Standards	Needs Development	N/A
You are effective in using company's resources.	Definite Strength	Meets Standards	Needs Development	N/A

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.