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 seek information from others as needed.
You know how to produce high quality products/work.
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 keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
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 use patience and self-control in working with customers and associates.
You consciously control own negative emotions in order to keep team morale up.
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 step away from a situation to process appropriate response.
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
You create a risk management strategy for the organization.
You understand the possible financial risks of different events.
I seek to add value to the company by embracing risk.
You use risk management to remain in compliance with regulations.
I am responsible for regulatory, strategic, operational and project risk management.
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
You are above average in addressing the needs of the clients.
I exceed expectations of the clients.
You provide excellent service to clients.
I respond to the needs of the client.
You satisfy client 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 say "thank you" to show appreciation for work of others.
You recognize team members who offer a significant contribution to a project.
You let employees know when they have done well
You offer recognition in a timely manner.
You recognize individuals for a specific outstanding achievement.
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 impress upon others the important aspects of [Company].
You understand the "basics" as to how [Company] functions/operates.
You attend [Company] gatherings and social events.
You follow existing procedures and processes.
You understand how decisions impact other business units beyond your immediate department of work group.
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 plan for how to allocate time to specific activities.
I can develop a strategic plan to reduce costs in the department.
I prioritize tasks based on urgency/need.
I conduct regular assessments of the project status to ensure adherence to the set schedule.
You are open to input from others into the plan 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.