Strategic Focus- 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 .

Strategic Focus	Agree	Unsure	Disagree	N/A
You look for opportunities to enhance contributions to the bottom line.
You focus attention on treating the causes of problems rather than simply addressing the symptoms.
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You are able to decline a poor strategy by proposing alternate strategies.
You understand and contribute to development of strategic goals.
Bias for Action	Agree	Unsure	Disagree	N/A
You encourage risk taking and experimentation to improve performance
You display high energy and enthusiasm on consistent basis.
You complete a large volume of work.
You motivate others to achieve or exceed goals
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
Professional Development	Agree	Unsure	Disagree	N/A
You quickly acquire and apply new knowledge and skills when needed
You keep yourself up-to-date of technical/professional issues
You are contributing fully to the extent of your skills
You seek opportunities for professional development.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You are excellent at managing time.
You make sure that employees understand and identify with the team's mission.
You align the department's goals with the goals of the organization.
You make sure that employees understand how their work relates to organizational goals.
You maintain focus when handling several problems or tasks simultaneously.
Supervisory Skills	Agree	Unsure	Disagree	N/A
You resolve personnel problems quickly and effectively.
You appropriately recognize and reward employees.
You promote teamwork and cooperation within the department.
You maintain good working relationships with employees.
You provide constructive, ongoing feedback.
Commitment To Result	Agree	Unsure	Disagree	N/A
You are able to focus on a task even when working alone.
You take immediate action toward goals.
You are committed to the team.
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You maintain persistence and dedication to achieving results.
Safety	Agree	Unsure	Disagree	N/A
You develop a sustainable safety culture.
You develop a strong safety culture.
You develop a culture of safety.
You are committed to safety in the workplace.
You keep accurate safety records.
Co-worker Development	Agree	Unsure	Disagree	N/A
You give others development opportunities through project assignments and increased job responsibilities
You provide ongoing feedback to co-workers on your development progress
You take immediate action on poor performance
You adapt coaching and mentoring approach to meet the style or needs of individuals
You work to identify root causes of performance problems
Partnering/Networking	Agree	Unsure	Disagree	N/A
You promote the understanding of how the department affects the organization overall.
You capitalize on partnerships and networks to enhance the Company's bottom line.
You build alliances between departments and teams.
You partner with peers to obtain influence within the Company.
You develop a sense of trust in subordinates so they can freely interact and share information with others.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You seek and utilize mentors to help guide your professional development.
You balance risks and rewards when making decisions.
You can work effectively in an environment of uncertainty.
You are able to adapt the department to changing business demands and climate.
You are comfortable operating in an environment of uncertainty.

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

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.