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 create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You understand your role within the organization.
You understand and contribute to development of strategic goals.
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
You communicate goals and objectives to employees.
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 identify ways to simplify work processes and reduce cycle times
You encourage risk taking and experimentation to improve performance
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You complete work on time
Professional Development	Agree	Unsure	Disagree	N/A
You encourage employees to take courses relevant to their job.
You allow employees to fully participate in employee training and professional development.
You demonstrate enthusiasm and a willingness to learn new skills and knowledge
You keep yourself up-to-date of technical/professional issues
You seek opportunities for continuous learning.
Establishing Focus/Direction	Agree	Unsure	Disagree	N/A
You align the department's goals with the goals of the organization.
You help guide employees with prioritizing tasks.
You make sure that employees understand and identify with the team's mission.
You stay focused even when under pressure and stress.
You function well under stress, deadlines, and/or significant workloads.
Supervisory Skills	Agree	Unsure	Disagree	N/A
I value the opinions of subordinates.
You foster a positive work environment in the department.
I communicate effectively with employees.
You complete assessments in a timely manner.
I am successful in resolving personnel conflicts.
Commitment To Result	Agree	Unsure	Disagree	N/A
You take immediate action toward goals.
You coordinate all department activities into a cohesive team effort.
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.
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 mitigate hazards and safety issues that arise.
You develop safety guidelines for the department.
You work to implement corrective safety measures.
You keep accurate safety records.
You support safety programs and procedures.
Co-worker Development	Agree	Unsure	Disagree	N/A
You set and clearly communicate expectations, performance goals, and measurements to others
You adapt coaching and mentoring approach to meet the style or needs of individuals
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
You seek to reduce institutional roadblocks to information sharing.
You create the conditions for partnerships to grow and develop.
You seek an understanding of diverse functions within the Company.
You capitalize on partnerships and networks to enhance the Company's bottom line.
You support and encourage relationships that are created by diverse team members.
Entrepreneurship	Agree	Unsure	Disagree	N/A
You understand the processes and various stages of business development.
You take the initiative to complete tasks.
You seek and utilize mentors to help guide your professional development.
You balance risks and rewards when making decisions.
You exhibit determination and passion in completion of goals.

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.