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)

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

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 a great company.

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

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Achievement	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Demonstrates a well-organized and timely approach to achieve desired results
Systematically works to improve the organization
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Set high standards in their performance
Follows-up and takes action when goals are not met to ensure better results in the future.
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 Exhibits this Competency	Always Exhibits this Competency
Looks for ways to expand current job responsibilities.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
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	Usually Exhibits this Competency	Always Exhibits this Competency
Starts meetings on time.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Arrives to meetings on time.
Starts the workday when scheduled.
Please feel free to provide any comments to help explain your answers?

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

Project Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Anticipates potential problems and institutes controls and contingency plans to address them.
Develops action items, workplans, timelines, and criteria for projects.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Inspires others to accomplish goals and objectives.
Works with customers and clients to assess their needs and define project parameters.
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
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Tells subordinates what to do, not how to do it.
Please feel free to provide any comments to help explain your answers?

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
Please feel free to provide any comments to help explain your answers?

Technical	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Demonstrates mastery of the technical competencies required in his/her work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Willingly shares his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
Is knowledgeable of procedures or systems necessary for the job.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Adopts the implementation of new technology into the workplace.
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Please feel free to provide any comments to help explain your answers?

Trustworthy	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works in a way that makes others want to work with her/him.
Demonstrates a sense of responsibility and commitment to public trust.
Consistently keeps commitments.
Communicates an understanding of the other person's interests, needs and concerns.
Is trustworthy; is someone I 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
Tries to ensure employees are ready to move to the next level.
Assigns tasks and responsibilities to develop skills of others.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Assesses employees' developmental needs.
Supports the successes of other employees.
Please feel free to provide any comments to help explain your answers?

Business Acumen	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Considers impact of actions on other areas of the organization.
Asks the 'right' questions to size up or evaluate situations.
Applies the knowledge of work processes to influence the achievement of business goals
Understands complex issues and problems.
Please feel free to provide any comments to help explain your answers?

Strategic Insight	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Communicates vision for the department and company.
Identifies root causes of problems.
Formulates policies and strategies for addressing the Company's important challenges.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Identifies potential problems before they become critical incidents.
Please feel free to provide any comments to help explain your answers?

Vision	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Behaves in a way that is consistent with business values & code of conduct
Leads employees in new directions.
Creates a common vision for others.
Develops action plans to align his/her work with the goals of the organization
Communicates the vision and strategy of [Company]
Please feel free to provide any comments to help explain your answers?