Action - 360 Degree Feedback Survey Sample #11





360 Feedback Survey

Questionnaires Measuring Action:
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

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Competencies Included:
Action, Self Management, Performance, Time Management, Developing Others, Organizational Fluency
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Action

What does Action mean?
It means that ...
  • You are driven to complete a high amount of work.
  • You address performance issues quickly.
  • You regularly conduct preventative maintenance on the equipment.
  • You work at a quick pace.
  • I create innovative products and services.

To what extent does this person exhibit Action?
Select from one of the ratings below.

Self Management

What does Self Management mean?
It means that ...
  • You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  • You analyze interpersonal problems instead of reacting to them.
  • You use patience and self-control in working with customers and associates.
  • You consciously control own negative emotions in order to keep team morale up.
  • You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Performance

What does Performance mean?
It means that ...
  • You have great overall performance
  • You set a high standard for job performance.
  • You are able to organize work.
  • You produce quality
  • You work well in this position.

To what extent does this person exhibit Performance?
Select from one of the ratings below.

Time Management

What does Time Management mean?
It means that ...
  • I tackle major tasks or problems first before addressing minor issues.
  • I consistently meet production deadlines.
  • You prioritize completion of high-impact assignments.
  • I avoid spending time on non-work related activities.
  • You leave time in the schedule for unplanned contingencies.

To what extent does this person exhibit Time Management?
Select from one of the ratings below.

Developing Others

What does Developing Others mean?
It means that ...
  • You are open to receiving feedback.
  • You try to ensure employees are ready to move to the next level.
  • You assess employees' developmental needs.
  • You encourage employees through recognition of positive changes in behavior.
  • You create a work environment that fosters positive feedback to employees.

To what extent does this person exhibit Developing Others?
Select from one of the ratings below.

Organizational Fluency

What does Organizational Fluency mean?
It means that ...
  • You anticipate problems that may affect the department.
  • You understand the current organizational culture.
  • You are adept at navigating within the culture of the department.
  • You understand departmental policies and procedures.
  • You are able to explain departmental policies and procedures to others.

To what extent does this person exhibit Organizational Fluency?
Select from one of the ratings below.
Strengths


Areas for Development


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