Bias for Action - 360 Degree Feedback Survey Sample #3





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)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Bias for Action, Supervisory Skills, Delegation, Quality, Initiative, Managing Risk, Regulatory/Compliance, Coaching, Conflict Management, Organizational Fluency
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Bias for Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Completes work on time
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Displays high energy and enthusiasm on consistent basis.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is respectful toward employees.
  1. Provides training on equipment as needed.
  1. Emphasizes constructive discipline strategies, prioritizing the development and feedback of employees over punitive measures.
  1. Uses metrics and benchmarks established by the department.
  1. Willing to consider a spectrum of disciplinary measures, ranging from formal warnings to unpaid leave.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Allows subordinates to use their own methods and procedures.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Tells subordinates what to do, not how to do it.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Sets benchmarks for quality improvements.
  1. Proposes a variety of solutions to address quality needs.
  1. Quickly identifies critical issues impacting quality.
  1. Quickly addresses changes in quality of the products.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Analyzes the needs of the situation and acts before being told to do so.
  1. Does things without being told.
  1. Does the right thing without being told.
  1. Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
  1. Takes the initiative to solve pressing issues.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is concerned about process safety management.
  1. Presents regular/monthly reports to the audit committee.
  1. Works effectively to transfers risk.
  1. Minimizes the increase in costs due to global events or supply chain issues.
  1. Determines the potential outcome of adverse risk events.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ensures the company meets legal requirements/standards regarding employees.
  1. Complies with trade agreements affecting international companies.
  1. Develops regulatory compliance strategies.
  1. Coordinates with legal counsel in conducting audits of legal compliance.
  1. Periodically assesses the effectiveness of regulatory/compliance programs.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Addresses employee behavior problems effectively.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Helps employees to maintain high personal standards.
  1. Provides clear, motivating, and constructive feedback.
  1. Conducts regular performance appraisals and feedback.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Reframes conflicts as opportunities to innovate and create new solutions to problems.
  1. Identifies the root cause of the problems.
  1. Seeks to maintain positive relationships with coworkers.
  1. Tries to understand others' point of view before making judgments
  1. Promotes a culture that values diverse perspectives.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Able to explain departmental policies and procedures to others.
  1. Anticipates problems that may affect the department.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Understands departmental policies and procedures.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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