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 are trustworthy; is someone that can be trusted.
You demonstrate congruence between statements and actions.
You communicate an understanding of the other person's interests, needs and concerns.
You take ownership, deliver on commitments
You take care to maintain confidential information.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete a large volume of work.
You convey a sense of urgency about addressing problems and opportunities
You encourage risk taking and experimentation to improve performance
You motivate others to achieve or exceed goals
You complete work on time
Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
You are open to the suggestions from others.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
You look for ways to improve work processes and procedures.
You analyze processes to determine areas for improvement.
You promote training and development opportunities to enhance job performance.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
I regularly evaluate information before making important decisions.
I make good decisions for the Department.
You ask for additional information when making critical decisions.
I consider the ethical implications of decisions.
You decide which long-term goals should be met.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You understand and contribute to development of strategic goals.
You set challenging stretch goals
You achieve established goals.
You make sure that team members have a clear idea of our group's goals.
You achieve goals.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
You maintain persistence and dedication to achieving results.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You coordinate all department activities into a cohesive team effort.
You are able to focus on a task even when working alone.
You encourage commitment in others to obtain results.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You take a lot of pride in your work.
You can be counted on to add value wherever you are involved.
You produce high quality work.
You keep yourself and others focused on constant improvement.
You demonstrate the functional or technical skills necessary to do your job.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You comply with trade agreements affecting international companies.
You interact with auditors and regulators on a professional basis.
You implement regulatory changes in a timely manner.
You are familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
You address issues quickly before they develop into major problems.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You actively and openly participates in team meetings.
I make decisions that positively impact team performance.
I make sure each team member participates in the task.
You are able to adjust to changes in the composition of the team.
I find opportunities to recognize and reward team members.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You understand the current organizational culture.
You are able to use corporate politics to advance department objectives.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You are effective in communicating with others within the organization.
You are adept at navigating within the culture of the department.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You communicate the vision and strategy of [Company]
You demonstrate consistency between words and actions
You create a common vision for others.
You communicate a vision of where the Company needs to be in the future.
You develop action plans to align your work with the goals of the organization

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.