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 identify areas where return on investment can be improved.
You are able to decline a poor strategy by proposing alternate strategies.
I maintain a strategic focus on external factors impacting the success of the company.
I communicate the company's strategic goals and decisions to teams and departments.
You understand how to grow the business and increase customers.
Bias for Action	Agree	Unsure	Disagree	N/A
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You encourage risk taking and experimentation to improve performance
You identify ways to simplify work processes and reduce cycle times
You complete work on time
You convey a sense of urgency about addressing problems and opportunities
Professional Development	Agree	Unsure	Disagree	N/A
You keep yourself up-to-date of technical/professional issues
You seek opportunities for continuous learning.
You seek opportunities for professional development.
You allow employees to fully participate in employee training and professional development.
You quickly acquire and apply new knowledge and skills when needed
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You make sure that employees understand how their work relates to organizational goals.
You make sure that employees understand and identify with the team's mission.
You are excellent at managing time.
You stay focused even when under pressure and stress.
You align the department's goals with the goals of the organization.
Supervisory Skills	Agree	Unsure	Disagree	N/A
I work well with the team members.
I facilitate conversations where each person can be heard.
You facilitate team members working well together.
I speak to all employees involved to get a complete picture of the situation.
I show consistency between what I say and do.
Commitment To Result	Agree	Unsure	Disagree	N/A
You maintain persistence and dedication to achieving results.
You are committed to the team.
You coordinate all department activities into a cohesive team effort.
You encourage commitment in others to obtain results.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Safety	Agree	Unsure	Disagree	N/A
You are not afraid to question a potential safety issue observed in the workplace.
You ensure that all supervisors are aware of regulatory and compliance measures.
You support safety programs and procedures.
You perform work safely.
You mitigate hazards and safety issues that arise.
Co-worker Development	Agree	Unsure	Disagree	N/A
You adapt coaching and mentoring approach to meet the style or needs of individuals
You set and clearly communicate expectations, performance goals, and measurements to others
You take immediate action on poor performance
You provide ongoing feedback to co-workers on your development progress
You work to identify root causes of performance problems
Partnering/Networking	Agree	Unsure	Disagree	N/A
You seek an understanding of diverse functions within the Company.
You srive to cultivate and maintain a partnership based on trust and commitment in relationships.
I create joint initiatives or projects that serve the common interests of all parties.
You effectively develop networks with colleagues that have shared interests.
You partner with other organizations to develop new technologies and processes.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You are excellent at managing relationships with stakeholders.
You take the initiative to complete tasks.
You encourage risk taking for developing potential business opportunities.
You balance risks and rewards when making decisions.
You understand the processes and various stages of business development.

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.