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Commitment - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Commitment:
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:
Commitment, Decision Making, Communication Skills, Leadership, Innovation, Juggling Multiple Responsibilities, Clarity, Managing Risk, Interpersonal Skills, Responsible, Co-worker Development, Global Perspective
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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Commitment

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create a compelling vision that employees see themselves in, transforming organizational goals into personal meaning.
  1. I am highly committed to achieving organizational goals and objectives.
  1. You demonstrate through behavior a strong investment in the organization's success.
  1. I encourage employees to live organizational values in ways that maximize effectiveness.
What are your suggestions for how you can make improvements
in Commitment?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I use simulations, role-playing, or scenario planning to explore outcomes before committing to a course of action.
  1. You act confidently in the absence of guidance.
  1. I gather information before making a decision.
  1. I am open to listening to others who may have different ideas.
What are your suggestions for how you can make improvements
in Decision Making?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You frequently communicate with the team.
  1. I am approachable, dependable, and ready to assist when needed.
  1. You accurately attends to/understands ideas which are exchanged.
  1. I mark my status as "available" to signal I am open for communication.
What are your suggestions for how you can make improvements
in Communication Skills?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You provide challenging assignments to employees.
  1. You provide accurate, timely, and (where appropriate) positive feedback.
  1. You influence others on your team to reach goals, improve performance, and try new things
  1. You consistently follow the commitments in dealing with others
What are your suggestions for how you can make improvements
in Leadership?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I optimize innovative ideas for maximum success.
  1. You help focus the department on innovation.
  1. I ensure employees possess the necessary technical competencies to engage in innovation.
  1. You facilitate ongoing technical training and development to enable employees to contribute to innovative solutions.
What are your suggestions for how you can make improvements
in Innovation?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I identify which tasks require full attention and which can be layered with others.
  1. You are able to help team members face challenges from juggling multiple responsibilities.
  1. You demonstrate grit by returning to unfinished work after being pulled into urgent issues.
  1. You maintain high output during peak periods by streamlining processes and eliminating unnecessary steps.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are clear about goals that need to be achieved.
  1. You use appropriate grammar and tense in communications.
  1. You make sure employees understand why they were given certain assignments.
  1. You check details thoroughly.
What are your suggestions for how you can make improvements
in Clarity?

Managing Risk

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I determine the potential outcome of adverse risk events.
  1. You prioritize the risks to determine the most pressing needs.
  1. You are aware of process safety management.
  1. I determine a proportional response in relation to the level of risk.
What are your suggestions for how you can make improvements
in Managing Risk?

Interpersonal Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You strive to lead by example to demonstrate the value of interpersonal relationships.
  1. You apply appropriate communication techniques to the situation.
  1. I offer constructive criticism to have a positive impact on performance.
  1. I give credit where credit is due.
What are your suggestions for how you can make improvements
in Interpersonal Skills?

Responsible

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are responsible for setting the vision of the department.
  1. Your behavior is ethical and honest.
  1. You complete assigned work tasks.
  1. You set a good example.
What are your suggestions for how you can make improvements
in Responsible?

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 adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You take immediate action on poor performance
  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?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate working knowledge of global transactions.
  1. You apply knowledge of overseas markets.
  1. You can effectively deliver presentations to international clients.
  1. You are able to work with individuals having different backgrounds and cultures.
What are your suggestions for how you can make improvements
in Global Perspective?


  1. Strengths


  2. Areas for Development


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