Technical Skills - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Self-Assessment Form Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. All Leadership Team Members will be participating at this time.

In this regard, you need to complete a self-assessment questionnaire form (below).
Your responses will be combined with the responses from your peers and direct reports. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Technical	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You demonstrate mastery of the technical competencies required in your work.
You willingly share your technical expertise; sought out as resource by others
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 use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
You willingly share information and expertise; sought out as resource by others
If you were to make improvements in Technical, what are your suggestions for how you can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You do not allow own emotions to interfere with the performance of others.
You analyze interpersonal problems instead of reacting to them.
You step away from a situation to process appropriate response.
You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
If you were to make improvements in Self Management, what are your suggestions for how you can improve this?
Managing Risk	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I understand how to meet regulatory compliance.
I determine the impact of specific risks on finances.
You evaluate risks against acceptable risk levels.
I create continuity plans.
I implement strategies to mitigate risks.
If you were to make improvements in Managing Risk, what are your suggestions for how you can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I am competent in handling difficult clients.
You are aware of what the client wants to receive.
I respond to the needs of the client.
I tailor innovative products for each client.
You help clients feel they are receiving services tailored specifically to their needs.
If you were to make improvements in Client Focus, what are your suggestions for how you can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You recognize individuals for a specific outstanding achievement.
You recognize the abilities and skills of self and others
You offer recognition in a timely manner.
You say "thank you" to show appreciation for work of others.
You make people around them feel appreciated and valued.
If you were to make improvements in Recognition, what are your suggestions for how you can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You understand the use of [Company] products and services.
You follow existing procedures and processes.
You impress upon others the important aspects of [Company].
You express loyalty and dedication to [Company] in interactions with others.
You understand the "basics" as to how [Company] functions/operates.
If you were to make improvements in Company, what are your suggestions for how you can improve this?
Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I am able to stay organized and focused using excellent planning skills.
I encourage others to follow the plan.
I adjust plans as needed according to situational/strategic changes.
I determine the allocation of funds based on plans for future development.
You determine what supplies/equipment will be needed for the project.
If you were to make improvements in Planning, what are your suggestions for how you can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.