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.



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Strategic Focus	Agree	Unsure	Disagree	N/A
You are able to identify internal strengths and weaknesses and the opportunities and threats that impact the company.
You ensure the department has a viable strategy for moving forward.
You understand and contribute to development of strategic goals.
You reinforce the strategic messaging in various teams, meetings, seminars and workshops.
I monitor company performance and make adjustments to the strategic plan as needed.
Bias for Action	Agree	Unsure	Disagree	N/A
You use creativity to solve problems, tackle obstacles and make progress.
I am willing to take the first step and start tasks without waiting for external prompts.
You set priorities for your action and initiates timely action
You initiate the commencement of work on projects.
I initiate action on task without being prompted to do so.
Professional Development	Agree	Unsure	Disagree	N/A
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You are contributing fully to the extent of your skills
You seek opportunities for professional development.
You quickly acquire and apply new knowledge and skills when needed
You encourage employees to take courses relevant to their job.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You identify the tasks or goals that have the biggest impact.
You identify gaps in infrastructure or support and proactively address them.
I adjust resource distribution dynamically in response to shifting demands or constraints.
You develop a plan or strategy providing a clear path forward.
I monitor the workload balance and impact on employees.
Supervisory Skills	Agree	Unsure	Disagree	N/A
You give employees the ability to complete their tasks as they see fit.
I inform employees of what tasks need to be completed on each shift.
I always remain calm and professional even in stressful situations.
I conduct regular progress meetings to ensure adherence to the schedule.
I maintain professional interactions with peers, customers, and employees.
Commitment To Result	Agree	Unsure	Disagree	N/A
You coordinate all department activities into a cohesive team effort.
You maintain persistence and dedication to achieving results.
You are committed to the team.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You create a sense of urgency among the store team members to complete activities, which drive sales.
Safety	Agree	Unsure	Disagree	N/A
You support our company's safety programs.
You ensure compliance with safety regulations.
You develop a culture of safety.
You point out behaviors in others that may be unsafe.
You develop a sustainable safety culture.
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 work to identify root causes of performance problems
You give others development opportunities through project assignments and increased job responsibilities
You provide ongoing feedback to co-workers on your development progress
Partnering/Networking	Agree	Unsure	Disagree	N/A
I proactively address potential conflicts by identifying and resolving problems swiftly.
I form strategic alliances with firms that specialize in areas that are complementary or help the company.
I maintain communication channels with colleagues in the industry.
I am able to highlight both the strategic benefits and potential pitfalls in collaboration.
I implement effective oversight of network activities.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You are able to adapt the department to changing business demands and climate.
You understand the processes and various stages of business development.
You balance risks and rewards when making decisions.
You encourage dynamic growth opportunities.
You encourage risk taking for developing potential business opportunities.

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.