Quality - 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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Quality	Agree	Unsure	Disagree	N/A
I understand and use established quality procedures/controls.
You consistently provide timely, accurate, and reliable information on quality measures.
You always strive to produce the highest quality work products.
I assess strengths and weaknesses of various quality initiatives.
I assist quality control inspectors.
Initiative	Agree	Unsure	Disagree	N/A
You do the right thing without being told.
You engage with new customers immediately.
I take on additional tasks without being asked or told to do so.
You anticipate what needs to be done and makes necessary preparations.
You confront problems immediately without supervisor instructions.
Commitment To Result	Agree	Unsure	Disagree	N/A
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You take immediate action toward goals.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You are committed to the team.
You coordinate all department activities into a cohesive team effort.
Clarity	Agree	Unsure	Disagree	N/A
You adjust communication methods to the needs of the audience.
You are clear about the roles and duties of team members.
You write clear job descriptions for positions in the organization.
You clarify problems and their causes to help employees correct them.
You make sure employees understand why they were given certain assignments.
Managing Risk	Agree	Unsure	Disagree	N/A
You accurately determine appropriate risk levels (i.e., levels of acceptable risk).
You take steps to minimize the impact/damage of the risk events.
You are aware of appropriate actions to minimize risks.
I use actionable data and analytics to improve risk tolerance.
I establish the context for risk management activities.
Attitude	Agree	Unsure	Disagree	N/A
You visibly support and encourages diversity in style and background.
You contribute to a positive and fun work environment.
You show by your actions that you trust in the positive intentions of others.
You treat all people fairly and with respect.
You work to eliminate unnecessary work or barriers that get in others' way.
Supervisory Skills	Agree	Unsure	Disagree	N/A
You facilitate team members working well together.
You foster a positive work environment in the department.
I always remain calm and professional even in stressful situations.
I maintain disciplinary policies and fair enforcement of work rules
I implement disciplinary policy in accordance with the union contract
Entrepreneurship	Agree	Unsure	Disagree	N/A
You are excellent at managing relationships with stakeholders.
You are comfortable operating in an environment of uncertainty.
You encourage dynamic growth opportunities.
You balance risks and rewards when making decisions.
You maintain a high level of energy to respond to demands of the job.
Vision	Agree	Unsure	Disagree	N/A
You inspire and motivate employees through an influential vision.
You assign the responsibility of implementing the vision to the team, ensuring they have clear guidance, adequate resources, and the necessary authority.
You encourage employees to embrace the departmental vision.
You delegate the task of implementing the vision to subordinates.
I stay ahead of the curve to guide my team towards innovative solutions and strategic decisions.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.