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.



Please complete your response by .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Commitment To Result	Agree	Unsure	Disagree	N/A
You maintain persistence and dedication to achieving results.
You encourage commitment in others to obtain results.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You coordinate all department activities into a cohesive team effort.
You are committed to the team.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
I use guiding questions to help employees think critically and make informed decisions.
You implement metrics that reflect both output and impact, tailored to team goals.
You actively lead and support employees in their tasks to maintain progress and alignment with the department's goals.
You are flexible and ready to adjust strategies in response to change circumstances.
I provide strong direction to new employees and recent transfers.
Strategic Focus	Agree	Unsure	Disagree	N/A
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You look for opportunities to enhance contributions to the bottom line.
I detect changes in the environment and updates the strategic plan to address new opportunities or threats.
I ensure adherence to the strategy to sustain achievement of targeted levels of organizational performance.
You strategically position resources to meet the needs of field based employees.
Flexibility	Agree	Unsure	Disagree	N/A
You are able to adapt processes in response to critical incidents that impact the workflow.
You actively listen to others, consider their viewpoints, and incorporate these insights into the decision-making process.
You are able to adapt to new situations.
I am willing to change ideas or perceptions based on new information.
I am able to change or adjust processes to accommodate changes in equipment or supplies.
Passion To Learn	Agree	Unsure	Disagree	N/A
You exhibit willingness to upgrade skills through additional training and education.
You take advantage of training opportunities when they arise.
You constantly enhance product knowledge through experimentation and play.
You will participate in training classes even if offered outside of normal working hours.
You create an environment that supports personal development and exploration.
Cultural Awareness	Agree	Unsure	Disagree	N/A
I publicly acknowledge cultural contributions and achievements in team settings.
You engage with individuals that have different cultural backgrounds.
You recognize and value individual and cultural differences.
You accept individual differences.
You understand the impact that your culture may have on interactions between individuals.
Administrative Skill	Agree	Unsure	Disagree	N/A
You ensure proper passports, visas, or travel documents are in order and prepare any necessary documentation for travel.
You identify complex problems and review related information to develop and evaluate options and implement solutions.
I proofread and revise documents to enhance clarity, professionalism, and alignment with client expectations.
I screen calls.
I process payroll information.
Innovation	Agree	Unsure	Disagree	N/A
I encourage managers to "think outside the box".
You create new programs and systems.
I have a strong commitment to innovation.
You share innovative ideas with others.
You establish systems of continuous improvement.
Objectives	Agree	Unsure	Disagree	N/A
You set long-term and short-term goals.
You communicate goals and objectives to employees.
You work toward achieving established goals and objectives.
You consistently provide me with timely feedback for improving my performance.
You are able to establish realistic goals.
Empowering Others	Agree	Unsure	Disagree	N/A
You encourage others to obtain necessary skills and training.
You allow employees to have flexible work schedules.
I allow subordinates to perform mission critical tasks.
I allow employees to take training to increase their skill levels so that they can be more independent.
You demonstrate confidence in the abilities of subordinates.
Partnering/Networking	Agree	Unsure	Disagree	N/A
I am an active member of professional associations or professional groups to stay connected with peers.
You participate in conflict resolution to find mutually beneficial solutions.
You align efforts, processes, and resources with partners to maximize strategic opportunities.
You establish regular check-ins to ensure alignment and address any emerging issues.
You form collaborative relationships with others.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You are able to adapt the department to changing business demands and climate.
You can work effectively in an environment of uncertainty.
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.
You are comfortable operating in an environment of uncertainty.

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.