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
I implement remediation plans that include specific performance goals in areas most in need of improvement.
You inform the employee of the required sales/production targets.
I provide additional responsibilities for employees that exceed performance standards.
I set and maintain high standards for myself and others.
You review job performance shortly after completion of tasks.
Innovation	Agree	Unsure	Disagree	N/A
You embrace an open-minded approach allowing managers to discover and promote innovative solutions that drive business success.
I help to identify and create value from innovation.
You implement best practices within the department.
I use innovation to solve urgent specific problems.
You maximize the alternative solutions to problems.
Continual Learning	Agree	Unsure	Disagree	N/A
You set relevant learning objectives and goals.
You pursue professional development opportunities when they arise.
You share best practices with others and learn from others.
You participate in regular training offered.
You take the initiative to learn new skills.
Feedback	Agree	Unsure	Disagree	N/A
You look to others for input.
You accept the views of others.
You share past experiences with others as learning opportunities.
You seek feedback to enhance performance.
You consider other's opinion and suggestions.
Attitude	Agree	Unsure	Disagree	N/A
You contribute to a positive and fun 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.
You build open and trusting relationships.
Cultural Awareness	Agree	Unsure	Disagree	N/A
You engage with individuals that have different cultural backgrounds.
I seek clarification to avoid misunderstandings.
I am aware of cultural differences in business etiquette.
I help other employees to become more culturally sensitive.
You acknowledge your own biases in cultural interactions.
Time Management	Agree	Unsure	Disagree	N/A
You deal effectively with interruptions.
I rarely miss deadlines; often producing results before expected.
I delegate tasks to free up time to focus on more important issues.
You record time spent on work and non-work related items.
I tackle major tasks or problems first before addressing minor issues.
Commitment To Result	Agree	Unsure	Disagree	N/A
You take immediate action toward goals.
You are committed to the team.
You encourage commitment in others to obtain results.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You coordinate all department activities into a cohesive team effort.
Objectives	Agree	Unsure	Disagree	N/A
You are able to organize work.
You encourage others to take on greater responsibility.
You assure [Company] principles are understood, employed & pursued.
You establish goals and objectives.
You organize and schedules events, activities, and resources.
Client Focus	Agree	Unsure	Disagree	N/A
You deliver high quality products to the client.
You view client satisfaction as an everyday priority.
I am transparent in all communications with the client.
You help clients feel they are receiving services tailored specifically to their needs.
You thoroughly understand the needs of the client.
Customer Focus	Agree	Unsure	Disagree	N/A
You maintain strong relationships with customers.
I consistently meet customer's needs.
You are honest in all communication with the customers.
You ensure customers are comfortable with the services provided.
You put customer's needs first.
Fiscal Management	Agree	Unsure	Disagree	N/A
You keep excellent records for financial transparency.
You monitor spending.
You provide budgeting and accounting support to the Company.
You ensure others follow the correct rules and regulations on fiscal matters.
You develop budgets and plans for various programs and initiatives.

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.