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 take ownership, deliver on commitments
You consistently keep commitments.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You build and maintain the trust of others.
You communicate an understanding of the other person's interests, needs and concerns.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You identify ways to simplify work processes and reduce cycle times
You motivate others to achieve or exceed goals
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You complete a large volume of work.
You complete work on time
Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
You promote training and development opportunities to enhance job performance.
You analyze processes to determine areas for improvement.
You look for ways to expand and learn new job skills.
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
You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
You break complex issues into manageable parts and organize them in a systematic way before making decisions
You do not lose sight of the big picture when making decisions
You exercise good judgment by making sound and informed decisions.
You are able to make decisions quickly.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You establish and document goals and objectives.
You conduct timely follow-up; keeps others informed on a need to know basis.
You understand and contribute to development of strategic goals.
You achieve established goals.
You set high expectations and goals; encourages others to support the organization.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
You create a sense of urgency among the store team members to complete activities, which drive sales.
You encourage commitment in others to obtain results.
You coordinate all department activities into a cohesive team effort.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You maintain persistence and dedication to achieving results.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You can be counted on to add value wherever you are involved.
You produce high quality work.
You demonstrate the analytical skills to do your job.
You keep yourself and others focused on constant improvement.
You take a lot of pride in your work.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You are professional and courteous in interactions with auditors and regulators.
You offer training to employees to ensure they are complying with regulations.
You create documents and reports as needed to maintain compliance with regulations.
You are aware of federal and local laws affecting employees.
You are aware of the documents and reports needed to maintain compliance with regulations.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You actively and openly participates in group meetings.
You work cooperatively with others to solve problems.
You encourage others to share ideas to develop team cohesion
You are an effective team player
You coach team members to work toward a common goal.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You get things done through the department.
You are aware of other organizational cultures to compare/contrast with the current organizational culture.
You are able to explain departmental policies and procedures to others.
You adept at navigating within the culture of the department.
You are effective in communicating with others within the organization.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You communicate a vision of where the Company needs to be in the future.
You persuade others to follow the Company's vision.
You lead employees in new directions.
You clearly articulate a vision for your work and inspires others to support it
You create a positive vision of the future for the Company.

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.