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guide to multi source feedback

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Appendix 4<br />

Leadership Qualities 360 Feedback Form<br />

360 Feedback / Peer Review Form for …………….<br />

Please return forms <strong>to</strong>………………………………..<br />

Please be assured that your replies are confidential and will not be seen<br />

directly by me but I will receive <strong>feedback</strong> from …..<br />

Please write in the boxes below any comments.<br />

Area<br />

Self Belief<br />

What would you<br />

say are my<br />

strengths in this<br />

area<br />

Do you think<br />

that I need <strong>to</strong><br />

develop this<br />

quality<br />

further<br />

Any other<br />

thoughts/<br />

comments<br />

Self awareness<br />

Self management<br />

Drive for<br />

improvement<br />

Personal Integrity<br />

Seizing the future<br />

Intellectual flexibility<br />

Broad scanning<br />

Political astuteness<br />

Drive for results<br />

Leading change<br />

through people<br />

Holding <strong>to</strong> account<br />

Empowering others<br />

Effective and<br />

strategic influencing<br />

Collaborative<br />

influencing<br />

Further information on the leadership qualities outlined above can be obtained from<br />

www.nhsleadershipqualities.nhs.uk/

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