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
I maintain detailed instructions to ensure consistency and quality in the production line.
You encourage others to produce the highest quality work products.
You reflect on what is working and what could be improved.
I ensure the hiring of employees who are dedicated to delivering exceptional quality in every aspect of their work.
You implement standardized and data driven quality processes/procedures.
Initiative	Agree	Unsure	Disagree	N/A
You independently seek out new learning opportunities to improve your skills.
I begin immediate action on projects.
You take action to establish clear and concise deadlines for tasks to be completed.
When working on a problem in a team, I often am the first to suggest possible solutions.
You immediately inform the supervisor of any critical incidents.
Commitment To Result	Agree	Unsure	Disagree	N/A
You maintain persistence and dedication to achieving results.
You encourage commitment in others to obtain results.
You are committed to the team.
You are able to focus on a task even when working alone.
You coordinate all department activities into a cohesive team effort.
Clarity	Agree	Unsure	Disagree	N/A
You are clear about the roles and duties of team members.
You avoid creating ambiguity or mixed messages.
You communicate ideas and facts clearly and effectively in writing.
You provide a clear vision for the future.
You communicate with clarity and efficiency.
Managing Risk	Agree	Unsure	Disagree	N/A
I foster an awareness and a shared responsibility for managing risk at all levels of the Company.
You maintain open communication with other departments.
You monitor the effectiveness of risk management strategies.
You accurately perceive potential risks in the workplace.
I accept risks as needed.
Attitude	Agree	Unsure	Disagree	N/A
You build open and trusting relationships.
You work to eliminate unnecessary work or barriers that get in others' way.
You visibly support and encourages diversity in style and background.
You contribute to a positive work environment.
You show by your actions that you trust in the positive intentions of others.
Supervisory Skills	Agree	Unsure	Disagree	N/A
I enhance teamwork through good supervision.
I lead others through my commitment to the department.
Others emulate my enthusiasm for work.
You treat all staff equitably.
I understand the importance of good performance management.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You devote a certain amount of time and effort to developing new business opportunities.
You understand the processes and various stages of business development.
You encourage dynamic growth opportunities.
You exhibit determination and passion in completion of goals.
You encourage risk taking for developing potential business opportunities.
Vision	Agree	Unsure	Disagree	N/A
I envision and articulate a clear path for the department's accelerated growth over the next year.
You craft strategic plans that embody the organization's shared vision.
You can formulate and implement the organization's vision.
You develop a vision that is a catalyst for innovation and change.
You shape strategies that resonate with the department's shared 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.