Continuous Improvement - 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 .

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Continual Learning	Agree	Unsure	Disagree	N/A
You share best practices with others and learn from others.
You participate in regular training offered.
You improve on your skill sets.
You set relevant learning objectives and goals.
You take charge of your training and skills enhancement.
Continuous Improvement	Agree	Unsure	Disagree	N/A
You apply specialized knowledge to redesign processes for greater stability, accuracy, and throughput.
You establish improvement teams composed of members from all functional areas.
I strengthen process design to reduce defects and improve reliability.
I develop processes that are resilient, stable, and less prone to failure.
I model best-practice approaches to work.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
I use real-time feedback to recalibrate performance expectations when needed.
You design workflows and standard operate procedures (sops) to ensure consistency and efficiency.
I align the team's efforts, energy, and focus on a shared goal.
You invest in skill-building resources that enable employees to meet evolving performance standards.
I create measures of performance to ensure progress is being made.
Analytical	Agree	Unsure	Disagree	N/A
I ensure that information is current and up-to-date.
I format data to facilitate easy comparisons.
You create new visualizations of the data.
You organize information for decision making.
I develop quantitative measures of performance.
Initiative	Agree	Unsure	Disagree	N/A
You maintain momentum on long-term initiatives despite shifting priorities or limit support.
I act quickly when a small problem arises to keep it from becoming a major issue.
You lead pilots or experiments that result in scalable improvements.
I take action to implement new changes in the policies and procedures.
You champion under-supported ideas by building coalitions or reframe proposals to gain traction.
Flexibility	Agree	Unsure	Disagree	N/A
You respond to the various needs of other colleagues and departments.
You are able to bounce back from obstacles.
You respond effectively to changes in the market conditions.
You respond to changing availability of supplies and resources.
You foster agility in process and decision-making.
Objectives	Agree	Unsure	Disagree	N/A
You are able to organize work.
You encourage others to take on greater responsibility.
You establish goals and objectives.
You effectively organize resources and plans
You work toward achieving established goals and objectives.
Empowering Others	Agree	Unsure	Disagree	N/A
You encourage employees to take the lead on solving team-wide challenges.
You allow individuals to be responsible for their decisions.
I give employees the resources they need to complete the job.
You demonstrate confidence in the abilities of subordinates.
I motivate and encourage employees to be successful in their jobs.
Others	Agree	Unsure	Disagree	N/A
You work effectively with people from other departments.
You support the efforts of other employees in implementing solutions to problems.
You are able to see issues from others' perspectives.
You work across boundaries within the organization.
You treat others with respect and dignity.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You devote a certain amount of time and effort to developing new business opportunities.
You maintain a high level of energy to respond to demands of the job.
You are excellent at managing relationships with stakeholders.
You encourage risk taking for developing potential business opportunities.
You are able to adapt the department to changing business demands and climate.

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.