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 care to maintain confidential information.
You deliver on promises made.
You work in a way that makes others want to work with you.
You take ownership, deliver on commitments
You demonstrate a sense of responsibility and commitment to public trust.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete a large volume of work.
You encourage risk taking and experimentation to improve performance
You motivate others to achieve or exceed goals
You display high energy and enthusiasm on consistent basis.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
You look for ways to expand current job responsibilities.
You look for ways to expand and learn new job skills.
You are open to the suggestions from others.
You search for new methods, techniques, and processes that increase efficiency and reduce costs.
You promote training and development opportunities to enhance job performance.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
You act confidently in the absence of guidance.
You are willing to consider information from other sources.
You understand factors are important for deciding if a decision is "worth it"?
I define what constraints must be met for the decision making process.
You understand how different perspectives can help make better informed decisions.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You establish and document goals and objectives.
You make sure that team members have a clear idea of our group's goals.
You make sure that I have a clear idea of our group's goals.
You set high expectations and goals; encourages others to support the organization.
You achieve goals.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
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 are willing to do whatever it takes-not afraid to have to put in extra effort.
You are committed to the team.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
You are planful and organized.
You take a lot of pride in your work.
You demonstrate the analytical skills to do your job.
You produce high quality work.
You can be counted on to add value wherever you are involved.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
I perform annual/monthly compliance audits.
You are aware of the documents and reports needed to maintain compliance with regulations.
You maintain compliance with federal, state, and local laws.
You offer training to employees to ensure they comply with regulations.
You interact with auditors and regulators on a professional basis.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You carry your share of the workload
I help the team exercise good judgment by making sound and informed decisions.
You are an effective team player
You act as an effective team player
I facilitate effective teamwork during periods of change.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You get things done through the department.
You are able to explain departmental policies and procedures to others.
You are able to deal with sensitive issues with tact and professionalism.
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.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
You are skilled at recognizing various issues that arise and formulate practical and strategic solutions to resolve them efficiently.
You chart a bold course for the department's rapid evolution and expansion.
I am adept at identifying underlying problems within the organization and is capable of envisioning innovative and effective solutions to address these issues.
You craft a compelling vision that motivates employees to align their efforts with the organization's goals.
You are devoted to carrying out the strategic vision.

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.