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 .

Managing Performance	Agree	Unsure	Disagree	N/A
You reward individuals who show imagination in developing creative solutions to problems.
You assign additional responsibilities to facilitate internal employee promotions.
I encourage employees to take additional training in areas where they had low performance scores.
I use established criteria for measuring job performance.
I use pre-established key benchmarks to measure performance.
Innovation	Agree	Unsure	Disagree	N/A
You solve problems with insight and understanding.
You take risks to advance important ideas.
You create improved methods or solutions for meeting goals and objectives.
You challenge current procedures to develop other alternatives.
You build upon the ideas and solutions of others.
Continual Learning	Agree	Unsure	Disagree	N/A
You seek opportunities to grow in skills and knowledge.
You take the initiative to learn new skills.
You are open to new ideas and concepts.
You participate in regular training offered.
I view setbacks as opportunities to learn from.
Feedback	Agree	Unsure	Disagree	N/A
You are easy to approach with ideas and opinions.
You ask others for their ideas and opinions.
You actively seek feedback from others.
You accept the views of others.
You seek feedback to enhance performance.
Attitude	Agree	Unsure	Disagree	N/A
You build open and trusting relationships.
You contribute to a positive work environment.
You show by your actions that you trust in the positive intentions of others.
You work to eliminate unnecessary work or barriers that get in others' way.
You are gracious and professional in your interactions with others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
I actively listen to other employees' stories about their culture.
I seek to reduce obstacles in communication that might arise from cultural differences.
I seek knowledge and information about other cultures.
You understand what customs and etiquette are important for individuals from other cultures.
You understand how your own cultural background can impact the way you communicate and interact with others.
Time Management	Agree	Unsure	Disagree	N/A
I adhere to project timelines.
I am proactive in completing work.
I arrive to (attend) meetings on time.
You anticipate problems and resolve them before they negatively impact the schedule.
I bundle different tasks together if they can be done at the same time.
Commitment To Result	Agree	Unsure	Disagree	N/A
You coordinate all department activities into a cohesive team effort.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You encourage commitment in others to obtain results.
Objectives	Agree	Unsure	Disagree	N/A
You work toward achieving established goals and objectives.
You consistently provide me with timely feedback for improving my performance.
You assure [Company] principles are understood, employed & pursued.
You organize and schedules events, activities, and resources.
You are able to establish realistic goals.
Client Focus	Agree	Unsure	Disagree	N/A
I build long term relationships with clients.
I identify opportunities that enhance the client's experience.
I keep the client informed of all progress.
I exceed expectations of the clients.
I tailor solutions to meet the specific needs of each client.
Customer Focus	Agree	Unsure	Disagree	N/A
I am competent in handling difficult customers.
I regularly received positive feedback from customers.
I create documents that meet the customer's specifications.
I am competent in handling customer cases.
I am available to respond to customer needs.
Fiscal Management	Agree	Unsure	Disagree	N/A
You monitor expenses and verify the need for items purchased.
You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
You develop of the department's annual budget.
You provide budgeting and accounting support to the Company.
You keep excellent records for financial transparency.

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.