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 communicate an understanding of the other person's interests, needs and concerns.
You take care to maintain confidential information.
You demonstrate congruence between statements and actions.
You are trustworthy; is someone that can be trusted.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete a large volume of work.
You seek and utilize opportunities for continuous learning and self-development.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You motivate others to achieve or exceed goals
You encourage risk taking and experimentation to improve performance
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 are open to the suggestions from others.
You promote training and development opportunities to enhance job performance.
You look for ways to expand and learn new job skills.
You look for ways to expand current job responsibilities.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
You do not lose sight of the big picture when making decisions
You break complex issues into manageable parts and organize them in a systematic way before making decisions
I understand how my decisions will affect others.
You are confident in the decisions you make.
I carefully evaluate information before making an important decision.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You establish and document goals and objectives.
You achieve established goals.
You make sure that I have a clear idea of our group's goals.
You set challenging stretch goals
You conduct timely follow-up; keeps others informed on a need to know basis.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
You coordinate all department activities into a cohesive team effort.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You are committed to the team.
You take immediate action toward goals.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You take a lot of pride in your work.
You keep yourself and others focused on constant improvement.
You can be counted on to add value wherever you are involved.
You demonstrate the analytical skills to do your job.
You demonstrate the functional or technical skills necessary to do your job.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You ensure regulations are followed as required.
You maintain compliance with federal, state, and local laws.
You perform regular compliance audits.
You explain regulations and procedures to others as required.
You comply with regulatory requirements for the state.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You encourage open communication
You foster respect and understanding among team members
You identify and resolves conflicts within the team to increase team effectiveness
You actively and openly participates in group meetings.
You willingly share your technical expertise
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You understand departmental policies and procedures.
You are adept at navigating within the culture of the department.
You understand the current organizational culture.
You are able to use corporate politics to advance department objectives.
You are able to deal with sensitive issues with tact and professionalism.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You develop action plans to align your work with the goals of the organization
You demonstrate consistency between words and actions
You express the Company vision in a way that is easily understood and adopted by employees.
You persuade others to follow the Company's vision.
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.