Continual Learning - 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 .

Continual Learning	Agree	Unsure	Disagree	N/A
You take the initiative to learn new skills.
You pursue professional development opportunities when they arise.
You are open to new ideas and concepts.
You take charge of your training and skills enhancement.
I view setbacks as opportunities to learn from.
Cultural Awareness	Agree	Unsure	Disagree	N/A
You acknowledge your own biases in cultural interactions.
I am willing to include individuals with different cultural backgrounds on the team.
You are curious and willing to ask questions about the cultural differences in the workplace.
You understand how implicit biases can affect decisions, communication and productivity.
You seek out different viewpoints and benefits from different perspectives.
Clarity	Agree	Unsure	Disagree	N/A
You use appropriate grammar and tense in communications.
You clarify problems and their causes to help employees correct them.
You check details thoroughly.
You provide a clear vision for the future.
You seek to reduce ambiguity in messaging and documents.
Collaboration	Agree	Unsure	Disagree	N/A
You collaborate in time, effort, and expertise to help achieve success.
You integrate digital tools to streamline the collaborative processes of Research and Development.
You encourage teammates to settle their differences and work together.
You work with others to resolve issues facing the company.
You utilize digital tools to enhance collaborative efforts in creating process and policy documents.
Coaching	Agree	Unsure	Disagree	N/A
You help employees to maintain high personal standards.
You help employees to understand responsibilities, authority, and expectations.
You meet regularly with employees to coach them on areas that will enhance your performance
You develop the skills and capabilities of others.
You provide clear, motivating, and constructive feedback.
Partnering/Networking	Agree	Unsure	Disagree	N/A
I engage in collaborative training sessions or workshops to build skills across organizations.
I create a shared knowledge base or resource center accessible to all partners.
You form alliances with complementary organizations to promote business operations.
You use informal networks to share information.
You optimize processes by leveraging each function's strength.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You maintain a high level of energy to respond to demands of the job.
You are comfortable operating in an environment of uncertainty.
You can work effectively in an environment of uncertainty.
You have a strategic awareness on how to promote the organization.
You are excellent at managing relationships with stakeholders.
Vision	Agree	Unsure	Disagree	N/A
You understand the vision of the Company and promote it ahead of any self-interests.
I develop strategies that align with the organization's collective vision.
I can transform the current vision into clear objectives and a strategic roadmap.
You express the Company vision in a way that is easily understood and adopted by employees.
I foster a culture that aligns with the organization's vision.

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

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

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for [Participant Name Here]'s assessment.