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 encourage risk taking and experimentation to improve performance
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. You display high energy and enthusiasm on consistent basis.
  1. You seek and utilize opportunities for continuous learning and self-development.
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 search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You are open to the suggestions from others.
  1. You promote training and development opportunities to enhance job performance.
  1. You analyze processes to determine areas for improvement.
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 prepare contingency plans to avoid supply chain disruptions.
  1. You locate the financial resources to budget for the project.
  1. You estimate the time needed for each phase of the project.
  1. I create the metrics used to measure progress on the project.
  1. I initiate large projects.
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 use reasonable assumptions and logic to decide between alternate courses of action
  1. I am able to make decisions quickly.
  1. You decide which long-term goals should be met.
  1. I define the parameters that will impact the decision making process.
  1. I am receptive to new ideas from others 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. You readily share information with other group members.
  1. I encourage team members to offer opinions and ideas.
  1. You gain the cooperation of others to accomplish common goals and objectives.
  1. You devote time and energy to empower the team to succeed.
  1. You reward collaborative efforts of 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 build and maintain the trust of others.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. You deliver on promises made.
  1. You communicate an understanding of the other person's interests, needs and concerns.
  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 set and clearly communicate expectations, performance goals, and measurements to others
  1. You work to identify root causes of performance problems
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  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 develop action plans to align your work with the goals of the organization.
  1. I stay ahead of the curve to guide my team towards innovative solutions and strategic decisions.
  1. I recognize issues and formulate solutions.
  1. I develop an inspiring and ambitious vision for the organization's future.
  1. You create a common vision for others.
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.