Time Management - 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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Time Management	Definite Strength	Meets Standards	Needs Development	N/A
You set a good balance between work and family life.
You keep and maintain a To-Do list.
You do not procrastinate.
You make time for developing plans and schedules.
You avoid distractions in the workplace.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
You are flexible in adjusting priorities to meet the demands of changing situations.
You take reasonable risks to achieve desired results.
You set challenging goals.
You strive to meet goals and objectives.
You rapidly complete tasks and assignments.
Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
You learn from personal experiences and/or mistakes.
You are proactive and takes steps to prepare for changes in the workplace.
You work effectively with various personalities of team members.
You are able to adjust to changes as needed.
You respond quickly to new information.
Action	Definite Strength	Meets Standards	Needs Development	N/A
You work quickly when faced with difficult problems.
You make effective decisions, even when under pressure.
You motivate & supports others to gain skills
You display high energy and enthusiasm on consistent basis.
You do whatever it takes (within reason) to get the job done.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
You seek opportunities for continuous learning.
You keep yourself up-to-date of technical/professional issues
You seek opportunities for professional development.
You allow employees to fully participate in employee training and professional development.
You quickly acquire and apply new knowledge and skills when needed
Performance	Definite Strength	Meets Standards	Needs Development	N/A
You work effectively in the department.
You have great overall performance
You work well in this position.
You shown significant improvement in job performance.
You set a high standard for job performance.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
You identify fresh approaches and shows a willingness to question traditional assumptions.
You actively seek the root cause of a problem.
You are a good problem solver and decision maker
You are able to balance the needs of different people in a solution to a problem.
You solve problems using logic and insight.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
You communicate with clarity and efficiency.
You avoid stating unclear or conflicting goals.
You clearly explain the vision and goals of the company.
You communicate ideas and facts clearly and effectively in writing.
You are clear about goals that need to be achieved.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You work in a way that makes others want to work with you.
You demonstrate a sense of responsibility and commitment to public trust.
You build and maintain the trust of others.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You consistently keep commitments.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
You provide constructive feedback to others.
You support the successes of other employees.
You are open to receiving feedback.
You create a work environment that fosters positive feedback to employees.
You encourage employees through recognition of positive changes in behavior.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You actively and openly participates in group meetings.
You encourage teamwork and collaboration.
You communicate a clear message that teamwork and collaboration are expected.
You coach team members
You encourage others to share ideas to develop team cohesion

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.