360 Survey Questionnaire form

•

360 Survey

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, direct reports and/or others will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

Strengths:

Opportunities for Development:

Status of the Form

Upon clicking this button any responses will be saved. You can still return to the form to enter/review responses.

Results Driven	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Accountability - Takes responsibility for achieving objectives. Accomplishes goals independently, with little need for supervision. Takes ownership for own performance.
Customer Service - Addresses the needs of customers, clients, and stakeholders. Helps foster a positive customer experience.
Decisiveness - Makes appropriate and timely decisions, even when data is limited or the potential for risk.
Entrepreneurship - Self-confidence and the ability to use persuasion to influence others. Uses information planning to guide strategies.
Problem Solving - Determines the sources of the problem and effective solutions. Resolves difficult challenges by developing and/or implementing innovative solutions.
Compliance - Formulates, develops, recommends, implements, and administers human resources policies, sales policies and business goals; carries out company's policies and is familiar with them.

Leading Change	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Creativity and Innovation - Creates a work environment that encourages creative thinking and innovation; designs and implements new or cutting-edge programs/processes.
Flexibility - Responsive and adaptive to changing conditions or unexpected obstacles.
Resilience - Maintains focus and intensity and remains optimistic and persistent, even under adversity.
Strategic Thinking - Determines objectives and sets priorities; anticipates potential threats or opportunities.
Vision - Builds a shared vision with others; influences others to translate vision into action.

Leading People	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Conflict Management - Manages and resolves conflicts and disagreements in a positive and constructive manner to minimize negative impact.
Personal Example / Role model - Provides a positive role model and "lives" the principles that are defined; does what they say they will do and acts that way.
Integrity/Honesty - Instills mutual trust and confidence; creates a culture that fosters high standards of ethics; behaves in a fair and ethical manner toward others, and demonstrates a sense of corporate responsibility and commitment to public service.
Team Building - Inspires, motivates, and guides others toward goal accomplishments.
Can be relied upon - Is someone that can be relied upon to carry out tasks effectively and completely; maintains strong principles and business ethics during stressful or difficult situations.

Business Acumen	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Human Resources Management - Assesses current and future staffing needs based on organizational goals and budget; ensures staff are appropriately selected, trained, developed, utilized, appraised, and rewarded; takes corrective action.
Technology Management - Uses efficient and cost-effective approaches to integrate technology into the workplace and improve program effectiveness. Develops strategies using new technology to enhance decision making. Understands the impact of technological changes on the organization.

Building Coalitions/Communications	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Influencing/Negotiating - Persuades others; builds consensus through give and take; gains cooperation from others to obtain information and accomplish goals; facilitates "win-win" situations.
Interpersonal Skills - Considers and responds appropriately to the needs, feelings, and capabilities of different people in different situations; is tactful, compassionate and sensitive, and treats others with respect.
Oral Communication - Makes clear and convincing oral presentations to individuals or groups; listens effectively and clarifies information as needed; facilitates an open exchange of ideas and fosters an atmosphere of open communication.
Relationships - Maintains effective working relationships with all stakeholder groups including, public officials, customers, regulatory officials and the public.
Written Communication - Expresses facts and ideas in writing in a clear, convincing and organized manner.

Partnering/Networking	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Alliances - Creates the conditions for partnerships to grow and develop; creates value within the Company by building networks and alliances between departments and teams.
Supports Networks - Reduces institutional roadblocks to information sharing; maintains infrastructure to support partnerships and networks.
Supports Culture - Fosters teamwork rather than individual competition; supports a partnering/networking culture; supports and encourages relationships that are created by diverse team members.
Develops Trust - Develops a sense of trust in subordinates so they can freely interact and share information with others.
Fosters Understanding - Promotes the understanding of how the department affects the organization overall.

Company	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Procedural - Follows existing procedures and processes; aligns processes and procedures to better fit the strategic goals, missions and values of Illini Bank; implements new initiatives and resolves problems that cross multiple departments.
Company Culture - ensures employees understand the mission and values; ensures the organization and its mission, programs, products, and services are consistently presented in a strong, positive image to customers and the community.
Impacts - Understands how decisions impact other business units beyond their immediate department of work group; rewards and recognizes employees that add value to Illini Bank; initiates, implements, and reviews activities to advance quality, reduce expenses and increase staff productivity.
Strategy - Actively directs and supports Illini Bank's strategic goals; identifies strategic issues facing the organization; looks for strategic opportunities to advance the company.
Products - Understands the use of Illini Bank products and services; understands how customers use and benefit from our products; works toward implementing successful marketing and sales; works toward developing new or enhancing existing product lines.