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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
Edit this Survey
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Bias for Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You complete a large volume of work.
  1. You identify ways to simplify work processes and reduce cycle times
  1. You seek and utilize opportunities for continuous learning and self-development.
  1. You encourage risk taking and experimentation to improve performance
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 improve work processes and procedures.
  1. You promote training and development opportunities to enhance job performance.
  1. You are open to the suggestions from others.
  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 work with both internal and external individuals to facilitate the project.
  1. You develop performance measures for various aspects of the project.
  1. I identify the source materials that will be needed.
  1. I communicate with the necessary stakeholders if the budget targets are missed.
  1. You maintain costs and expenses within budget limits.
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. I evaluate information before making a final decision.
  1. You understand factors are important for deciding if a decision is "worth it"?
  1. You are willing to change your strategy if new information arises.
  1. You remain focused on the immediate goal when making decisions.
  1. I stay focused on the main objective when making decisions.
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 model collaborative behavior through leading by example.
  1. You participate in collaborative/team decision-making.
  1. I participate in the team's deliberations.
  1. You foster a collaborative work environment where everyone feels committed to achieve common goals.
  1. I collaborate to manage interpersonal disputes with a positive approach.
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 are a person others can count on.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. You work in a way that makes others want to work with you.
  1. You consistently keep commitments.
  1. You demonstrate a sense of responsibility and commitment to public trust.
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 work to identify root causes of performance problems
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You take immediate action on poor performance
  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
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 define an ideal image for what the department should look like in the future.
  1. I encourage employees to prioritize activities that contribute to the vision.
  1. You provide a detailed schedule that specifies key milestones and deadlines, guiding the organization step-by-step towards achieving its long-term goals and overall vision.
  1. I committed to turning the strategic vision into reality by meticulously planning, coordinating, and overseeing the implementation of an action plan.
  1. I create a compelling vision inspires employees, giving them a sense of purpose and direction.
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.