Achievement - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Achievement:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Achievement, Continual Improvement, Punctuality, Attitude, Project Management, Delegation, Quality, Technical, Technology Use/Management, Trustworthy, Developing Others, Business Acumen, Strategic Insight, Vision
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

Please ensure that your submission is made between . The survey will only be available during these dates.






Achievement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Accepts setbacks and challenges as improvement opportunities
  1. Takes calculated risks to achieve higher levels of performance.
  1. Increased production by 20 percent.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Takes calculated risks to achieve significant rewards.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Competency
  1. Open to the suggestions from others.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to expand current job responsibilities.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Invoices clients on a timely basis.
  1. Responds to requests for information in a timely manner.
  1. Starts meetings on time.
  1. Starts the workday when scheduled.
  1. Arrives to meetings on time.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
Always
Exhibits this
Competency
  1. Contributes to a positive work environment.
  1. Is gracious and professional in their interactions with others.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Visibly supports and encourages diversity in style and background.
  1. Shows by their actions that they trust in the positive intentions of others.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Inspires the project implementation team to achieve success.
  1. Researches potential solutions to meet the constraints of the project.
  1. Defines the project scope, goals, and resources.
  1. Establishes the sequence of steps needed to complete the project.
  1. Responds quickly and appropriately to unforeseen problems.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Assigns tasks to create learning opportunities for the employees.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Entrusts subordinates with important tasks.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Assists quality control inspectors.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
  1. Views quality issues as a system failure rather than an individual failure.
  1. Investigates critical incidents that impact quality.
  1. Able to identify quality issues critical to the organization.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Knows how to produce high quality products/work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Adopts the implementation of new technology into the workplace.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Delivers on promises made.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Is trustworthy; is someone I can trust.
  1. Is a person you can trust.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages employees through recognition of positive changes in behavior.
  1. Creates opportunities for professional development.
  1. Tries to ensure employees are ready to move to the next level.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Provides constructive feedback to others.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Understands financial terminology, statements.
  1. Can effectively interpret and analyze data.
  1. Collects valuable customer insights to ensure our services meet their needs.
  1. Gathers essential customer data to align our products with their expectations.
  1. Develops business plans that are forward looking.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Pursues strategic alliances with valued partners.
  1. Recognizes the needs of customers.
  1. Identifies root causes of problems.
  1. Identifies potential problems before they become critical incidents.
  1. Formulates policies and strategies for addressing the Company's important challenges.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Supports a positive vision for the future that increases market share and the bottom line.
  1. Able to see trends in the business environment.
  1. Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.
  1. Adept at creating and actualizing a strategic roadmap for the organization.
  1. Crafts a compelling roadmap for the department's future.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.