OMB Approved:
No. 3206-0253
OPM Leadership 360™
Public Burden Statement:
We estimate this form takes an average of 15 minutes to complete including the time for getting the needed data and reviewing both the instructions and completed form. Send comments regarding our estimate or any other aspect of this form, including suggestions for reducing completion time, to the Office of Personnel Management (OPM), Assessment Services, Jackie Brucker (3206-0253), Washington, DC 20415-7900. The OMB Number, 3206-0253, is currently valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed.
Whom are you rating?
Myself
My supervisor
My peer
My subordinate
Items 1 – 98 are scored on the scale: 1 = Not at all; 2 = To a little extent; 3 = To a Moderate Extent; 4 = To a great extent; 5 = To a very great extent; 6 = No basis to judge.
To what extent does the person you are rating:
Demonstrates a commitment to public service
Inspires others to be service oriented
Makes organizational decisions after considering the impact on the public
Acts in a fair and ethical manner
Follows through on commitments and promises
Inspires trust and confidence
Treats others with courtesy and respect
Handles interpersonal problems tactfully
Develops and maintains cooperative working relationships
Makes convincing oral presentations
Explains complex information clearly
Listens to others and seeks clarification when needed
Ensures that everyone’s viewpoint is fully heard
Encourages open communication among employees
Informs employees of events that might affect their work
Writes convincingly for different audiences
Writes in a clear and organized manner
Effectively edits complex or sensitive reports and materials
Learns from mistakes
Recognizes own strengths and weaknesses
Participates in training and self-development activities
Looks for better ways to accomplish work
Thinks “outside the box” to improve products, services, and processes
Encourages creativity and innovation
Keeps up-to-date with relevant laws, regulations, policies, and procedures that affect the organization
Monitors political and economic trends that may affect the organization
Considers external issues affecting the organization when making program decisions
Is open to new ideas and opinions from others
Adapts to organizational change
Changes priorities, when necessary, as situations change
Works well under pressure
Recovers quickly from setbacks
Overcomes obstacles to obtain needed resources
Establishes long-term goals and objectives for the organization
Develops effective strategies to meet organizational goals
Plans for potential organizational threats and opportunities
Builds a shared vision of the organization’s future
Communicates the organization’s mission, vision, and values
Promotes change consistent with the organization’s vision
Acts before conflict escalates
Deals with interpersonal problems in a timely manner
Includes all affected parties in resolving conflicts
Makes the most of each employee’s talents to meet organizational goals
Respects cultural, religious, gender, and racial differences
Creates an environment in which diversity is valued
Involves employees in important decisions
Provides employees with constructive suggestions to improve their job performance
Ensures that staff is capable and trained
Supports long-term employee development
Creates an atmosphere of cooperation among team members
Inspires pride and team spirit among team members
Delegates authority to teams
Builds teams of appropriate size and structure to accomplish work goals
Ensures that work responsibilities and assignments are clearly defined
Sets challenging but realistic performance goals
Reviews employees’ progress toward goals on a regular basis
Achieves results within set time frames
Manages time effectively
Ensures that important records are maintained and preserved
Protects the privacy of employees, customers, and members of the public
Safeguards assets and ensures accountability for property and equipment
Anticipates customer needs
Continuously improves products and services
Promotes the use of good customer service techniques
Makes sound and timely decisions
Makes effective decisions, even when data are limited
Makes decisions that keep projects moving toward completion
Promotes the organization’s products and services
Identifies strategies to develop new products and services
Takes calculated risks to accomplish organizational goals
Takes the initiative to solve problems affecting the work of the organization
Gathers information from relevant sources before generating solutions to problems
Considers and evaluates alternative courses of action when solving problems
Demonstrates technical expertise in area of responsibility
Knows relevant procedures, requirements, and regulations
Is actively sought out by others for technical expertise
Prepares and justifies a budget that meets program needs
Uses cost-effective approaches to accomplish work
Reviews expenditures regularly to keep within budget limitations
Recruits and selects well-qualified employees
Delegates work effectively
Provides fair and accurate performance appraisals
Recognizes employees for doing good work
Takes corrective action when employees do not meet performance standards
Provides guidance and support to employees as needed to perform their jobs
Effectively manages workplace flexibilities (e.g., telework and alternative work schedules)
Identifies new technologies to meet the organization’s needs
Ensures that employees acquire up-to-date technology skills
Makes cost-effective use of technology to meet the organization’s goals
Develops professional relationships with colleagues inside and outside of the organization
Builds networks of constituents, stakeholders, and decision-makers
Encourages collaboration across organizations
Recognizes the political implications of different courses of action for the organization
Recognizes the needs and perceptions of key stakeholders
Identifies the internal and external politics that affect the work of the organization
Identifies common interests of parties in negotiations
Builds consensus about the appropriate course of action
Persuades others to adopt recommendations
What are this individual's greatest strengths? (No editing of comments will take place. Comments will be passed along directly as written.)
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What are this individual's greatest developmental needs? (No editing of comments will take place. Comments will be passed along directly as written.)
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The following items ask for background information that will be used to help assess and improve leadership quality throughout the Federal government. The items WILL NOT be used to identify you as an individual. Your responses WILL NOT be included in any of the feedback reports generated for this assessment, not even in aggregate form.
How long have you worked with the person you are rating?
Not applicable: I am rating myself.
0 – 3 months
4 – 6 months
7 – 12 months
1 – 2 years
3 – 4 years
5 – 6 years
7 – 8 years
9 – 10 years
More than 10 years
What is your level of supervisory responsibility?
Non-supervisor
Team leader
First-line supervisor
Manager
Executive
How long have you been in this work role?
0 – 3 months
4 – 6 months
7 – 12 months
1 – 2 years
3 – 4 years
5 – 6 years
7 – 8 years
9 – 10 years
More than 10 years
Are you male or female?
Male
Female
Please select the ethnic/racial category or categories with which you most closely identify
Are you Hispanic or Latino?
No
Yes
What is your race? (Select one or more)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
What is your age?
Less than 20
20 – 29
30 – 39
40 – 49
50 – 60
Over 60
| File Type | application/msword |
| File Title | Service Motivation |
| Author | Steve Burnkrant |
| Last Modified By | Pierce, Steven |
| File Modified | 2013-12-12 |
| File Created | 2009-05-22 |