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 am able to identify quality issues critical to the organization.
You set high benchmarks for employees to achieve.
I maintain detailed instructions to ensure consistency and quality in the production line.
I address barriers to successfully implementing quality standards.
I understand and use established quality procedures/controls.
Initiative	Agree	Unsure	Disagree	N/A
You quickly come to the aid of those who may need help.
You are a self-starter. You do not wait to be told to do something.
You see what needs to be done and take appropriate actions.
I act independently to solve pressing needs.
You champion projects that directly support strategic goals or KPIs.
Commitment	Agree	Unsure	Disagree	N/A
I align personal talents with organizational needs through strengthened commitment.
You encourage innovation and improvement, supporting new ideas that strengthen commitment and organizational effectiveness.
You maintain sustained engagement with the mission of the organization.
You model transparency in commitment, showing that ownership of a task means being answerable for both successes and setbacks.
You obtain commitment from senior leadership before implementing changes.
Clarity	Agree	Unsure	Disagree	N/A
You clearly explains responsibilities to individuals.
You avoid creating ambiguity or mixed messages.
You maintain clarity in goals and objectives.
You clarify problems and their causes to help employees correct them.
You communicate with clarity and efficiency.
Managing Risk	Agree	Unsure	Disagree	N/A
I promote risk management competence throughout the organization.
You gather information regarding potential risks.
I evaluate the impact of certain events on the attainment of corporate objectives.
You reward risky ideas that may yield significant benefits.
You seek to increase safety in the workplace.
Attitude	Agree	Unsure	Disagree	N/A
You treat others with respect.
I add creative flair or thoughtful touches to deliverables, demonstrating pride and joy in the work itself.
You are optimistic about the future direction and plans.
You exhibit a professional and gracious demeanor.
I engage in continuous learning, drawing lessons from both success and failure.
Supervisory Skills	Agree	Unsure	Disagree	N/A
I lead others through my commitment to the department.
I give feedback that includes both a recognition of the employee's strengths and areas where the employee could do better.
I contribute to a productive work environment for the team.
You address performance issues with a developmental mindset, emphasizing improvement over retribution.
I recognize those who have exceeded expectations.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You maintain a high level of energy to respond to demands of the job.
You encourage risk taking for developing potential business opportunities.
You understand the processes and various stages of business development.
You take the initiative to complete tasks.
You exhibit determination and passion in completion of goals.
Vision	Agree	Unsure	Disagree	N/A
I build momentum by celebrating small wins that reflect progress toward the vision.
You craft strategic plans that embody the organization's shared vision.
You invite employees to co-create strategies that bring the vision to life, fostering shared ownership.
I stay ahead of the curve to guide my team towards innovative solutions and strategic decisions.
I develop a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.

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.