Commitment - 360 Degree Feedback Survey Sample #8

Self-Assessment Instructions

You have been selected to complete a self-assessment questionnaire as part of a 360-degree feedback assessment. Your feedback is an important part of 's leadership development process. 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.

Respond to the assessment form based on your work experiences during the previous 12 months. Your responses will be merged with other people's feedback and presented to you in your on-going development. Comments from others will be shared anonymously, as written.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



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Commitment	Agree	Unsure	Disagree	N/A
I hold myself and others accountable for staying focused on agreed deliverables.
You maintain a strong commitment to continuous improvement.
You drive superior service outcomes by equipping employees with tools, training, and a sense of ownership.
I provide developmental opportunities to strengthen employee commitment to the organization.
I invest in long-term outcomes, not just short-term wins, showing patience and perseverance.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
I provide training or mentorship to help guide employees in the department.
You maintain focus when handling several problems or tasks simultaneously.
I provide incentives to help employees remain committed to the completion of important tasks.
You establish guidelines and procedures to ensure workplace safety and compliance with regulations.
You tailor guidance and support based on individual strengths, challenges, or circumstances.
Strategic Focus	Agree	Unsure	Disagree	N/A
I give adequate consideration to the time and resources available.
I create a vision for the organization based on how the organization should appear in the future.
You identify the role of each department in meeting the strategic goals.
I develop a strategic plan to focus on strategic issues.
You ensure the department has a viable strategy for moving forward.
Flexibility	Agree	Unsure	Disagree	N/A
I innovate skills and modify behaviors to remain flexible in addressing important issues.
You navigate ambiguity with ease, maintaining focus and productivity amidst uncertainty.
You encourage adaptability to utilize more efficient processes.
You are open to change and new ways of doing things.
You are flexible in adjusting to the demands of the market place.
Passion To Learn	Agree	Unsure	Disagree	N/A
You create an environment that supports personal development and exploration.
You are open minded and curious about learning new skills.
You embrace new technology and procedures.
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
You demonstrate through personal behavior the commitment to high standards of performance.
Cultural Awareness	Agree	Unsure	Disagree	N/A
You encourage open dialogue and ensure all voices are heard during team discussions.
You are open to learning about different cultures.
You build collaborative relationships by honor cultural norms and interpersonal boundaries.
You uphold inclusive policies that protect cultural expression and identity in the workplace.
I intervene respectfully when witnessing culturally insensitive behavior or language.
Administrative Skill	Agree	Unsure	Disagree	N/A
I classify files logically based on content, project, department, or priority to ensure easy accessibility.
I maintain an orientation toward helping others.
You actively listen to what individuals are say take time to understand the points being made.
I ensure compliance by verifying that the response meets the requirements and adhere to any formatting or submission guidelines specified in the RFQ/RFI.
You are able to develop, justify and present a budget.
Innovation	Agree	Unsure	Disagree	N/A
You are able to think through complex problems using unique solutions.
I analyze the competitive environment to determine where innovation would have the greatest impact.
I encourage disruptive innovation allowing managers to identify and seize opportunities that traditional approaches might overlook.
I discover alternative methods for production.
You generate alternative solutions to problems and challenges.
Objectives	Agree	Unsure	Disagree	N/A
You are able to organize work.
You set long-term and short-term goals.
You assure [Company] principles are understood, employed & pursued.
You encourage others to take on greater responsibility.
You establish goals and objectives.
Empowering Others	Agree	Unsure	Disagree	N/A
You enable team members to make their own decisions on the project.
I encourage independent, original thinking and creative problem-solving.
You create opportunities for employees to exercise their independence.
You assign projects that push employees beyond their current skill set while offering support.
You support the decisions of others.
Partnering/Networking	Agree	Unsure	Disagree	N/A
You develop partnerships with senior leaders in the company.
You develop key business relationships with clients/customers.
I share resources, technology, facilities, or intellectual property to benefit both partners.
I host forums, colloquiums, and seminars to share information and ideas.
I collaborate effectively with team members to achieve shared objectives and meet collective needs.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You exhibit determination and passion in completion of goals.
You have a strategic awareness on how to promote the organization.
You encourage dynamic growth opportunities.
You can work effectively in an environment of uncertainty.
You are excellent at managing relationships with stakeholders.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.