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 identify ways to simplify work processes and reduce cycle times
  1. You motivate others to achieve or exceed goals
  1. You display high energy and enthusiasm on consistent basis.
  1. You complete work on time
  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 and learn new job skills.
  1. You analyze processes to determine areas for improvement.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You look for ways to improve work processes and procedures.
  1. You look for ways to expand current job responsibilities.
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. I locate the equipment and supplies needed for the project.
  1. You develop performance measures for various aspects of the project.
  1. You ensure resources are utilized at the appropriate levels for each phase of the project.
  1. I decide what metrics should be used as milestones for the project.
  1. You have the requisite industry knowledge to manage projects in this field.
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. I identify the parameters impacting the decision.
  1. I am able to make decisions quickly.
  1. You make decisions based on novel interpretations of the facts.
  1. I examine for patterns in data to help predict future possibilities.
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. You encourage collaboration of fellow employees to achieve results.
  1. You are comfortable working with employees from different departments/divisions.
  1. You encourage collaboration with other departments.
  1. You allow various stakeholders to contribute their expertise to the solution of a problem.
  1. You build consensus among team members.
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 consistently keep commitments.
  1. You demonstrate congruence between statements and actions.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. You take care to maintain confidential information.
  1. You work in a way that makes others want to work with you.
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 set and clearly communicate expectations, performance goals, and measurements to others
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You work to identify root causes of performance problems
  1. You provide ongoing feedback to co-workers on your development progress
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 demonstrate consistency between words and actions
  1. You create a common vision for others.
  1. You persuade others to follow the Company's vision.
  1. You communicate a vision of where the Company needs to be in the future.
  1. You communicate the vision and strategy of [Company]
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.