CDOT Self Assessment

Instructions:

Please note:

The results of this assessment will be used for research purposes only. A copy of your results will be made available to you after all of your feedback has been submitted by your raters.

This section must be completed by the person requesting feedback.

Fill out each item as directed.

After completing the questionnaire, designate at least one person to provide feedback.

At the end of the form be sure to click the 'submit' button.

	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
1. Considers the effects of broad market forces on business.
2. Willingly takes on new challenges.
3. Always keeps the consumer in mind.
4. Anticipates future consumer trends.
5. Anticipates what needs to be done and does it.
6. Asks for feedback.
7. Behaves in a way that builds trust.
8. Challenges self to improve.
9. Responds well to emotions of others.
10. Understands people's underlying motives.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
11. Coaches employees to ensure they are successful.
12. Collaborates effectively with others.
13. Works tirelessly to ensure customer satisfaction.
14. Communicates a vision that motivates others.
15. Aligns team with CDOT goals and mission.
16. Confronts conflict situations honestly.
17. Connects with people at all levels.
18. Considers the consequences of actions on other departments.
19. Responds well to criticism.
20. Is self-confident.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
21. Creates a climate of collaboration.
22. Creates partners to promote the performance of the entire organization.
23. Delivers what is promised.
24. Demonstrates creativity.
25. Demonstrates drive and hunger.
26. Demonstrates functional expertise.
27. Demonstrates high personal standards.
28. Demonstrates in-depth understanding of the operation.
29. Develops networks across CDOT.
30. Does not compromise values in the face of pressure from superiors.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
31. Encourages collaboration within CDOT.
32. Encourages employees to see themselves as leaders.
33. Encourages innovation & risk taking.
34. Exercises good business judgment.
35. Inspires employees to achieve exceptional results.
36. Conveys a positive outlook.
37. Is able to communicate a clear vision for their team.
38. Is clear in delegating responsibilities.
39. Is honest and trustworthy.
40. Is open and candid with people.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
41. Keeps his/her word.
42. Keeps the focus on the customer.
43. Knows how to get things done in the organization.
44. Gives clear directions.
45. Provides sufficient information to get the job done.
46. Focuses on developing the effectiveness of entire team.
47. Makes ethical decisions when faced with conflicting choices.
48. Manages self effectively.
49. Proposes testable alternatives.
50. Behaves ethically and with integrity.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
51. Promotes needed changes.
52. Provides employees feedback to improve performance.
53. Provides feedback that is fair.
54. Puts business ahead of personal agendas.
55. Puts the safe performance of the job first.
56. Recognizes people for good performance.
57. Is able to persuade others to adopt new points of view.
58. Spends time on the important priorities.
59. States opinions even if they might be unpopular.
60. Strives for excellence by setting challenging goals.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
61. Takes action before being forced to do so by events.
62. Takes different units into consideration when making decisions.
63. Continuously benchmarks performance against the competition.
64. Understands the impact of his/her behavior on the organization.
65. Works with people to correct performance.
66. Successfully implements transportation management strategies.
67. Knows how to develop long range strategic plans.
68. Communicates effectively with people outside the company.
69. Understands how large networks are set-up.
70. Demonstrates an ability to manage multiple systems to achieve a coordinated result.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
71. Expresses sensitivity to government relations issues.
72. Works effectively with governmental regulations.
73. Possesses knowledge of successful modeling and forecast planning options.
74. Demonstrates ability to use information generated from company metrics to improve operating effectiveness.
75. Maintains key business relationships for the company.
76. Knows how to reduce distribution costs.
77. Demonstrates expertise of supply chain management practices.
78. Knowledge of global market.
79. Demonstrates awareness of changes in the nature of the business.
80. Is able to use software and other technologies effectively.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
81. Uses the best safety practices available.
82. Successfully coaches employees through conflict in the workplace.
83. Negotiates effectively with government officials.
84. Demonstrates ability to recruit high quality new employees.
85. Demonstrates ability to train future leaders.
86. Effectively facilitates training programs.
87. Consistently meets performance goals.
88. Understands what customers want in express delivery services.
89. Makes decisions using cost/benefit analyses.
90. Collaborate with diverse co-workers.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
91. Effectively promotes his/her team within CDOT.
92. Demonstrates respect for employees from all levels of the company.
93. Is able to use conflict in groups effectively.
94. Brings out strengths in those around them.
95. Treats workers from diverse backgrounds in a fair manner.
96. Overall, is an effective leader.
97. Overall is an effective communicator.
98. Overall, has a high level of technical (e.g.. Transportation, logistics, etc.) skill/expertise.
99. Overall, is an effective performer within the organization.
100. Overall, compared to others is an exceptional performer.
	Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
101. Promotes a culture of safety.
102. Puts safety ahead of productivity.
103. Holds meaningful safety meetings..
104. Promotes use of best safety practices.
105. Committed to identifying root causes.
106. Prioritizes root cause identification over placing blame.
107. Demonstrates that the safe performance of the job is more important than the job itself.
108. Actively models the use of safe work practices.
109. Provides necessary training or tools to perform the job safely.
110. Does not compromise when it comes to safety.

Designate Feedback Providers:

Please nominate 6 to 9 people who are qualified to provide feedback regarding your capabilities as a leader in the Intermodal Transportation Industry. You must designate at least one person (such as your supervisor) to provide feedback.

	First Name:	Last Name:	Email Address:	Phone:
Colleagues & Peers



Direct Reports



Others

Additional Information

For purposes of identifying and collating your responses please provide the following information about yourself:

First (given) Name:
Last (family) Name:
What is your primary location - City:
What is your primary location - Country:
What is your business phone number:
What is your email address?
For security purposes please enter a unique identifying number that is at least 4 digits long (eg. last 4 digits of SSN or EmpID) known only to you that can be used to verify the identity of the person completing this form:

FORM SUBMISSION

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By clicking the SUBMIT FORM your responses will be submitted for analysis.

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	Caucasian	Bi-racial	Hispanic, Latino/a	African-American	Asian or Pacific Islander	American Indian or Native Alaskan	Multi-racial	Other specify below
Which of the following categories best describes your race or ethnicity?

	Single Never Married	Married/ Remarried	Divorced/ Separated	Widowed
What is your Marital Status?

	Entry-level manager (i.e., Team Leader)	Supervisor	Manager	Director	Executive	Other specify below
Which of the following best describes your present Position?

	Full-Time	Part-Time
Are you working Full or Part time?