Managing Performance - 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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Managing Performance	Agree	Unsure	Disagree	N/A
You assign tasks and responsibilities and holds employees accountable for actions.
You obtain commitment from employees regarding completion of tasks.
You provide employees with training as needed to increase their performance.
You inform team members how their performance compares to stated goals.
You ensure employees are trained in areas where performance may be lacking.
Innovation	Agree	Unsure	Disagree	N/A
I focus on bottom-up innovative efforts.
I participate in cross-functional innovation teams.
I use innovation to solve urgent specific problems.
I utilize disruptive innovation to help managers transform conventional business models, making products and services more accessible and affordable.
You suggest ways to improve processes and systems.
Continual Learning	Agree	Unsure	Disagree	N/A
You seek opportunities to grow in skills and knowledge.
You take charge of your training and skills enhancement.
You grasp new ideas, concepts, technical, or business knowledge.
You set relevant learning objectives and goals.
You improve on your skill sets.
Feedback	Agree	Unsure	Disagree	N/A
You actively seek feedback from others.
You are visible and approachable.
You ask others for their ideas and opinions.
You accept the views of others.
You are open to the suggestions of others.
Attitude	Agree	Unsure	Disagree	N/A
You show by your actions that you trust in the positive intentions of others.
You contribute to a positive work environment.
You visibly support and encourages diversity in style and background.
You treat all people fairly and with respect.
You are gracious and professional in your interactions with others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
I seek to reduce obstacles in communication that might arise from cultural differences.
You understand what customs and etiquette are important for individuals from other cultures.
You show respect in daily interactions
You are willing to work with employees who have different cultural backgrounds.
You understand how implicit biases can affect decisions, communication and productivity.
Time Management	Agree	Unsure	Disagree	N/A
I arrive to (attend) meetings on time.
You automate tedious or repetitive tasks.
I am never late for work.
I allow for time buffers between tasks so that the schedule does not become delayed.
You usually work with a sense of urgency.
Commitment To Result	Agree	Unsure	Disagree	N/A
You maintain persistence and dedication to achieving results.
You take immediate action toward goals.
You coordinate all department activities into a cohesive team effort.
You are committed to the team.
You encourage commitment in others to obtain results.
Objectives	Agree	Unsure	Disagree	N/A
You are able to organize work.
You encourage others to take on greater responsibility.
You are able to establish realistic goals.
You organize and schedules events, activities, and resources.
You assure [Company] principles are understood, employed & pursued.
Client Focus	Agree	Unsure	Disagree	N/A
You adapt to changes proposed by the client.
Your activities reflect a strong focus on the client relationship.
I understand what resources are needed to meet client needs.
I am consistent in services provided to clients.
I am transparent in all communications with the client.
Customer Focus	Agree	Unsure	Disagree	N/A
I create documents that meet the customer's specifications.
You identify the most pressing needs of each customer.
You engage with customers on multiple levels.
I provide a responsive service that meets the needs of customers.
I ensure that commitments made to customers are completed to the customer's satisfaction.
Fiscal Management	Agree	Unsure	Disagree	N/A
You ensure others follow the correct rules and regulations on fiscal matters.
You keep excellent records for financial transparency.
You provide budgeting and accounting support to the Company.
You are effective in using company's resources.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.

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.