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 .

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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 knowledgeable of procedures or systems necessary for the job.
You seek information from others as needed.
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 deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
You analyze interpersonal problems instead of reacting to them.
You consciously control own negative emotions in order to keep team morale up.
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
You create informative guides regarding potential risks and risky behaviors.
You increase business resilience.
I use actionable data and analytics to improve risk tolerance.
I determine the risk tolerance of the company.
You track risks in a project.
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 meet with clients on a regular basis.
You use client feedback to help improve products and services.
You maintain strong relationships with clients.
You prioritize client issues to tackle the most pressing needs first.
I identify opportunities that enhance the client's experience.
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 implement formal and informal recognition practices within the department.
You offer praise to employees at least once a month.
I offer recognition that is contingent upon specific performance achievement.
I offer recognition that is contingent upon specific levels of achievement.
You recognize team members who offer a significant contribution to a project.
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
I ensure that hiring is strategic and effective.
I help employees to know where the company is going.
I am proud of the work done by employees in the department.
You encourage employees to take ownership of their work and feel proud of their contributions.
I foster an organizational culture that focuses on collaboration, respect, and continuous learning.
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 encourage others to follow the plan.
I analyze market trends to plan the best course of action.
You determine what supplies/equipment will be needed for the department.
I develop plans used to accomplish urgent or critical tasks.
I understand what 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.