Bias for Action - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Bias for 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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Bias for Action, Continual Improvement, Project Management, Decision Making, Collaboration, Trustworthy, Co-worker Development, Vision
Sample Result Document:
Sample Results
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.

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


Bias for Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You seek and utilize opportunities for continuous learning and self-development.
  1. You complete a large volume of work.
  1. You complete work on time
  1. You display high energy and enthusiasm on consistent basis.
  1. You convey a sense of urgency about addressing problems and opportunities
What are your suggestions for how you can make improvements
in Bias for Action?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You look for ways to expand current job responsibilities.
  1. You promote training and development opportunities to enhance job performance.
  1. You analyze processes to determine areas for improvement.
  1. You look for ways to expand and learn new job skills.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
What are your suggestions for how you can make improvements
in Continual Improvement?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You regularly review project performance and goals.
  1. You estimate the time needed for each phase of the project.
  1. You have the requisite industry knowledge to manage projects in this field.
  1. You work with both internal and external individuals to facilitate the project.
  1. You develop performance measures for various aspects of the project.
What are your suggestions for how you can make improvements
in Project Management?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You break complex issues into manageable parts and organize them in a systematic way before making decisions
  1. You are willing to change your strategy if new information arises.
  1. I have enough self-control to avoid making impulsive decisions.
  1. I am able to learn from my mistakes.
  1. You recognize and generates innovative solutions.
What are your suggestions for how you can make improvements
in Decision Making?

Collaboration

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I address interpersonal issues with a collaborative mindset.
  1. You allow various stakeholders to contribute their expertise to the solution of a problem.
  1. You encourage teammates to settle their differences and work together.
  1. I collaborate with team members to achieve common goals.
  1. I cultivate a collaborative culture that drives innovation, productivity, and employee satisfaction.
What are your suggestions for how you can make improvements
in Collaboration?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate a sense of responsibility and commitment to public trust.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. You consistently keep commitments.
  1. You demonstrate congruence between statements and actions.
  1. You communicate an understanding of the other person's interests, needs and concerns.
What are your suggestions for how you can make improvements
in Trustworthy?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You provide ongoing feedback to co-workers on your development progress
  1. You take immediate action on poor performance
  1. You work to identify root causes of performance problems
  1. You set and clearly communicate expectations, performance goals, and measurements to others
What are your suggestions for how you can make improvements
in Co-worker Development?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create and execute a strategic vision that propels the department forward.
  1. I create a timeline to fulfill the organization's vision.
  1. You encourage employees to embrace the departmental vision.
  1. You develop a vision to inspire collective action.
  1. I support a strong employee culture to ensure alignment with the company's vision.
What are your suggestions for how you can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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