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 prioritize the work of others.
You present performance feedback in a clear and concise manner.
You align individual and team goals with the organization's goals and objectives.
You continuously measures performance and provides feedback to employees regularly.
You address grievances sooner rather than later.
Innovation	Agree	Unsure	Disagree	N/A
You analyze current procedures and identify opportunities for improvement.
You create improved methods or solutions for meeting goals and objectives.
You challenge current procedures to develop other alternatives.
You implement best practices within the department.
You suggest new ideas at meetings.
Continual Learning	Agree	Unsure	Disagree	N/A
You take the initiative to learn new skills.
You are open to new ideas and concepts.
You grasp new ideas, concepts, technical, or business knowledge.
You seek opportunities to grow in skills and knowledge.
You share best practices with others and learn from others.
Feedback	Agree	Unsure	Disagree	N/A
You are open to the suggestions of others.
You are visible and approachable.
You ask others for their ideas and opinions.
You share past experiences with others as learning opportunities.
You look to others for input.
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 visibly support and encourages diversity in style and background.
You are gracious and professional in your interactions with others.
You treat all people fairly and with respect.
Cultural Awareness	Agree	Unsure	Disagree	N/A
You understand how your own cultural background can impact the way you communicate and interact with others.
I am willing to include individuals with different cultural backgrounds on the team.
I develop skills and attitudes to bridge cultural differences.
I interact effectively with people from different cultural backgrounds.
You are willing to work with employees who have different cultural backgrounds.
Time Management	Agree	Unsure	Disagree	N/A
You prioritize new tasks according to your relative importance.
You use agendas when chairing or facilitating meetings.
You deal effectively with interruptions.
You complete tasks ahead of schedule.
You do not procrastinate.
Commitment To Result	Agree	Unsure	Disagree	N/A
You create a sense of urgency among the store team members to complete activities, which drive sales.
You are able to focus on a task even when working alone.
You are committed to the team.
You take immediate action toward goals.
You encourage commitment in others to obtain results.
Objectives	Agree	Unsure	Disagree	N/A
You communicate goals and objectives to employees.
You assure [Company] principles are understood, employed & pursued.
You are able to organize work.
You establish goals and objectives.
You encourage others to take on greater responsibility.
Client Focus	Agree	Unsure	Disagree	N/A
I create an environment that enables clients to receive excellent service.
You satisfy client needs.
You look for opportunities that have a positive impact on Clients.
You make client's needs a top priority.
I am responsive to client needs.
Customer Focus	Agree	Unsure	Disagree	N/A
I act with integrity in all customer interactions.
You ensure customers are comfortable with the services provided.
You build trust with the customer.
I actively listen to concerns from customers.
You use feedback from customers to help improve services.
Fiscal Management	Agree	Unsure	Disagree	N/A
You monitor expenses and verify the need for items purchased.
You develop budgets and plans for various programs and initiatives.
You keep excellent records for financial transparency.
You develop of the department's annual budget.
You ensure others follow the correct rules and regulations on fiscal matters.

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.