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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Strategic Focus	Agree	Unsure	Disagree	N/A
I pursue strategic alliances with valued partners.
I create measures of performance and profitability to assess financial objectives.
You strategically position resources to meet the needs of field based employees.
I maintain a strategic focus on external factors impacting the success of the company.
I strategically focus efforts to improve operational efficiencies.
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 complete a large volume of work.
You complete work on time
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You convey a sense of urgency about addressing problems and opportunities
Professional Development	Agree	Unsure	Disagree	N/A
You are contributing fully to the extent of your skills
You quickly acquire and apply new knowledge and skills when needed
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You seek opportunities for continuous learning.
You keep yourself up-to-date of technical/professional issues
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You align the department's goals with the goals of the organization.
You maintain focus when handling several problems or tasks simultaneously.
You make sure that employees understand how their work relates to organizational goals.
You function well under stress, deadlines, and/or significant workloads.
You maintain self-control when personally criticized.
Supervisory Skills	Agree	Unsure	Disagree	N/A
I maintain the confidence and trust of employees.
I determine which team members are to be promoted to the next higher level.
I am effective in resolving conflicts to mutual satisfaction of the parties.
I speak to all employees involved to get a complete picture of the situation.
I am willing to consider a spectrum of disciplinary measures, ranging from formal warnings to unpaid leave.
Commitment To Result	Agree	Unsure	Disagree	N/A
You are willing to do whatever it takes-not afraid to have to put in extra effort.
You are committed to the team.
You create a sense of urgency among the store team members to complete activities, which drive sales.
You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
You coordinate all department activities into a cohesive team effort.
Safety	Agree	Unsure	Disagree	N/A
You develop a culture of safety.
You commit adequate resources toward safety measures.
You are aware of osha safety guidelines.
You participate in safety training as applicable.
You ensure compliance with safety regulations.
Co-worker Development	Agree	Unsure	Disagree	N/A
You give others development opportunities through project assignments and increased job responsibilities
You adapt coaching and mentoring approach to meet the style or needs of individuals
You provide ongoing feedback to co-workers on your development progress
You set and clearly communicate expectations, performance goals, and measurements to others
You work to identify root causes of performance problems
Partnering/Networking	Agree	Unsure	Disagree	N/A
You engage in collaborative problem-solving to address shared challenges.
You develop key business contacts at other companies.
I search for a common solution to shared problems or issues.
I develop networks and builds alliances.
You maintain infrastructure to support partnerships and networks.
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 are comfortable operating in an environment of uncertainty.
You balance risks and rewards when making decisions.
You find unique ways to go around barriers to success.

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.