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 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
You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
You demonstrate mastery of the technical competencies required in your work.
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 analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
You analyze interpersonal problems instead of reacting to them.
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 track risks in a project.
You effectively respond to critical situations to reduce potential for losses.
I determine the potential outcome of adverse risk events.
You determine the impact of specific risks on marketplace.
I use actionable data and analytics to improve risk tolerance.
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 make client's needs a top priority.
You follow up with any unanswered questions from the client.
You are honest in all communication with the clients.
You provide a high level of service to clients.
You form strong client relationships
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 readily share credit and gives others opportunity for visibility.
You recognize the abilities and skills of self and others
You are sincerely interested in the suggestions of co-workers
You recognize individuals for a specific outstanding achievement.
You find opportunities to recognize others.
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 attend [Company] gatherings and social events.
You understand the "basics" as to how [Company] functions/operates.
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
You are able to develop logistics plans to move material through a multi-step supply chain.
I reduce uncertainty in the department through clear planning and schedules.
I determine staffing needs for the project/department.
I develop plans to help manage expectations and project demands.
I am good at planning for the "unexpected".
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.