Trustworthy - 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.

Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You deliver on promises made.
You consistently keep commitments.
You build and maintain the trust of others.
You communicate an understanding of the other person's interests, needs and concerns.
You work in a way that makes others want to work with you.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You complete work on time
You display high energy and enthusiasm on consistent basis.
You convey a sense of urgency about addressing problems and opportunities
You motivate others to achieve or exceed goals
Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
You promote training and development opportunities to enhance job performance.
You analyze processes to determine areas for improvement.
You look for ways to improve work processes and procedures.
You encourage an employee culture of continuous improvement to seek out better ways of doing things.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
I understand how my decisions will affect others.
You do not lose sight of the big picture when making decisions
You decide which long-term goals should be met.
You apply creative reasoning in making decisions.
I am open to listening to others who may have different ideas.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You conduct timely follow-up; keeps others informed on a need to know basis.
You make sure that team members have a clear idea of our group's goals.
You understand and contribute to development of strategic goals.
You set high expectations and goals; encourages others to support the organization.
You set challenging stretch goals
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
You take immediate action toward goals.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You maintain persistence and dedication to achieving results.
You are committed to the team.
You encourage commitment in others to obtain results.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You are planful and organized.
You demonstrate the functional or technical skills necessary to do your job.
You keep yourself and others focused on constant improvement.
You demonstrate the analytical skills to do your job.
You can be counted on to add value wherever you are involved.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You offer training to employees to ensure they comply with regulations.
I prepare and present annual reports as required.
You develop compliance reports in accordance with federal and industry regulations.
You create documents and reports as needed to maintain compliance with regulations.
I create and administer training initiatives on compliance and regulations.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You communicate a clear message that teamwork and collaboration are expected.
You actively and openly participates in team meetings.
You willingly share your technical expertise
I find opportunities to recognize and reward team members.
You contribute to and supports team decision-making process
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You understand the current organizational culture.
You anticipate problems that may affect the department.
You are able to use corporate politics to advance department objectives.
You understand departmental policies and procedures.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
I develop a strategic vision informed by comprehensive analysis of the company's performance.
You create a vision that adds value to the organization.
You lead employees in new directions.
I design a forward-thinking strategy to achieve the department's growth goals.
I establish a clear vision for where the company should be heading.

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.