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 .

Quality	Agree	Unsure	Disagree	N/A
You encourage others to achieve high quality standards.
You encourage employees to produce the best quality products.
I view quality issues as a system failure rather than an individual failure.
I communicate quality standards clearly.
I regularly measure product specifications to ensure uniformity and quality control.
Initiative	Agree	Unsure	Disagree	N/A
You take action without being asked.
I take action to implement new changes in the policies and procedures.
I take charge when there is a crisis.
I capitalize on opportunities as they become available.
I expand the offerings of the department by working evenings and weekends.
Commitment To Result	Agree	Unsure	Disagree	N/A
You coordinate all department activities into a cohesive team effort.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You are able to focus on a task even when working alone.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You are committed to the team.
Clarity	Agree	Unsure	Disagree	N/A
You communicate ideas and facts clearly and effectively in writing.
You clearly explains responsibilities to individuals.
You avoid stating unclear or conflicting goals.
You attend to the important details of a job or task.
You provide a clear vision for the future.
Managing Risk	Agree	Unsure	Disagree	N/A
You increase business resilience.
I determine how the risk management information is to be used.
You are aware of the financial implications of certain risks.
I monitor risk events and notify appropriate stakeholders.
I look for opportunities to turn a risk event into an advantage for the company.
Attitude	Agree	Unsure	Disagree	N/A
You are gracious and professional in your interactions with others.
You build open and trusting relationships.
You treat all people fairly and with respect.
You show by your actions that you trust in the positive intentions of others.
You contribute to a positive work environment.
Supervisory Skills	Agree	Unsure	Disagree	N/A
I make sure employees complete the work on time.
You ensure employees know what they need to complete during the shift.
You complete assessments in a timely manner.
I implement disciplinary policy in accordance with the union contract
I introduce targeted training and development initiatives to address and elevate subpar performance.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You understand the processes and various stages of business development.
You seek and utilize mentors to help guide your professional development.
You devote a certain amount of time and effort to developing new business opportunities.
You are comfortable operating in an environment of uncertainty.
You can work effectively in an environment of uncertainty.
Vision	Agree	Unsure	Disagree	N/A
You develop a vision that is a catalyst for innovation and change.
You assign the responsibility of implementing the vision to the team, ensuring they have clear guidance, adequate resources, and the necessary authority.
I provide vision and strategies to the team.
I focus subordinates' work on critical aspects of the vision.
I detect problems early on and create well-thought-out solutions to ensure the company continues to progress smoothly.

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.