Commitment to Result - 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 To Result	Agree	Unsure	Disagree	N/A
You take immediate action toward goals.
You are able to focus on a task even when working alone.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are committed to the team.
You create a sense of urgency among the store team members to complete activities, which drive sales.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You help guide employees with prioritizing tasks.
You maintain self-control when personally criticized.
You make sure that employees understand and identify with the team's mission.
You stay focused even when under pressure and stress.
You make sure that employees understand how their work relates to organizational goals.
Strategic Focus	Agree	Unsure	Disagree	N/A
You ensure that the department's goals are strategically aligned with the company's goals.
You avoid complacency and strives to be ahead of changes in the business environment.
I maintain strategic focus by regularly reviewing the strategic plan and taking corrective actions as needed to stay on track.
You strategically position resources to meet the needs of field based employees.
I create a strategy to achieve departmental objectives.
Flexibility	Agree	Unsure	Disagree	N/A
You are able to cope with a variety of client needs.
I continuously learn and adapt new techniques to address evolving challenges.
You encourage adaptability to utilize more efficient processes.
You are able to maintain productivity and effectiveness no matter the context.
You are capable of adjusting to necessary modifications in the work environment.
Passion To Learn	Agree	Unsure	Disagree	N/A
You create an environment that supports personal development and exploration.
You constantly enhance product knowledge through experimentation and play.
You take initiative for own learning and development.
You will participate in training classes even if offered outside of normal working hours.
You take advantage of training opportunities when they arise.
Cultural Awareness	Agree	Unsure	Disagree	N/A
You accept individual differences.
You respect others regardless of age, race, gender, nationality, or disability.
You are open to learning about different cultures.
You seek out different viewpoints and benefits from different perspectives.
I am aware of cultural differences in business etiquette.
Administrative Skill	Agree	Unsure	Disagree	N/A
You are able to develop, justify and present a budget.
You have strong technical/computer skills.
You accurately implement contract provisions.
You implement and use performance measures.
You complete reports on-time.
Innovation	Agree	Unsure	Disagree	N/A
I promote collaboration across different departments to combine varied perspectives and expertise, which can spark innovative ideas.
I ensure employees possess the necessary technical competencies to engage in innovation.
I embrace disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.
I investigate all types of innovations.
You improve on ideas of others.
Objectives	Agree	Unsure	Disagree	N/A
You consistently provide me with timely feedback for improving my performance.
You set long-term and short-term goals.
You establish goals and objectives.
You encourage others to take on greater responsibility.
You organize and schedules events, activities, and resources.
Empowering Others	Agree	Unsure	Disagree	N/A
I allow employees to take ownership of their work.
You are confident in the abilities of employees assigned important tasks.
You let employees complete tasks according to their methods.
You recognize the contributions that others make to the department.
I encourage employees to take the initiative when responding to an issue.
Partnering/Networking	Agree	Unsure	Disagree	N/A
I reinforce the contacts with other organizations.
You effectively develop networks with colleagues that have shared interests.
You identify partnerships with overseas companies to expand market opportunities.
I engage in continuous dialogue through regular meetings or virtual meetups.
I am comfortable working in partnership with colleagues from other departments.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You find unique ways to go around barriers to success.
You understand the processes and various stages of business development.
You encourage dynamic growth opportunities.
You seek and utilize mentors to help guide your professional development.
You devote a certain amount of time and effort to developing new business opportunities.

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.