Project Management - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Self-Assessment Form Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. All Leadership Team Members will be participating at this time.

In this regard, you need to complete a self-assessment questionnaire form (below).
Your responses will be combined with the responses from your peers and direct reports. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Project Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I determine the project scope.
I understand what software tools are available to be used to manage the project.
I hold meetings with supply-chain vendors regarding acquisition of resources.
I locate the equipment and supplies needed for the project.
You procure the resources necessary to complete the project.
If you were to make improvements in Project Management, what are your suggestions for how you can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You encourage others to take on greater responsibility.
You set long-term and short-term goals.
You are able to organize work.
You consistently provide me with timely feedback for improving my performance.
You assure [Company] principles are understood, employed & pursued.
If you were to make improvements in Objectives, what are your suggestions for how you can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
You step away from a situation to process appropriate response.
You use patience and self-control in working with customers and associates.
You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
You do not allow own emotions to interfere with the performance of others.
If you were to make improvements in Self Management, what are your suggestions for how you can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I enable employees to improve performance by providing feedback.
I improve employees on an ongoing basis through constructive feedback.
You consider other's opinions and suggestions.
You recognize and reinforce positive behaviors and achievements as positive reinforcement.
I accept constructive criticism and praise from others regarding my strengths and weaknesses.
If you were to make improvements in Feedback, what are your suggestions for how you can improve this?
Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You complete assigned work tasks.
You set high personal standards of performance.
You hold yourself accountable to goals / objectives
You work in a way that makes others want to work with you.
You take personal responsibility for results.
If you were to make improvements in Responsible, what are your suggestions for how you can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
I am willing to listen to the ideas of other team members.
I work with other team members on the project.
You demonstrate a willingness to work with the team.
I am able to work closely other team members who are considered to be difficult to work with.
I treat other team members with respect.
If you were to make improvements in Teamwork, what are your suggestions for how you can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
You meet with customers to gain insight into their core needs and how best to serve them.
I recognize unspoken concerns or morale issues through body language, tone, and team interactions.
You work with others to develop insights into the resources and actions required to produce desired results.
You have conversations with customers and clients to get a better insight into their personal needs.
You anticipate business cycles and trends and make adjustments in a timely manner.
If you were to make improvements in Strategic Insight, what are your suggestions for how you can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.