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Commitment - 360 Degree Feedback Survey Sample #3





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)
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:
Commitment, Flexibility, Creativity, Cultural Awareness, Performance, Change Management, Objectives, Teamwork, Planning
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.



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Commitment

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
Always
Exhibits this
Competency
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Strengthens employee dedication to applying their skills in service of organizational goals.
  1. Engages others in decision-making, fostering commitment to how goals are achieved.
  1. Elevates team spirit, weaving individual aspirations into a shared narrative of success.
  1. Empowers employees with resources and training, enabling them to commit to meet objectives.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
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Competency
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  1. Open to the perspectives/viewpoints of others.
  1. Fosters an environment that prioritizes adaptability, ongoing enhancement, and creative thinking.
  1. Allows for flexibility in the agenda for the team meeting.
  1. Responds to issues with creativity.
  1. Can easily accommodate changes in personnel of the department.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
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  1. Participates in industry networks to stay attuned to emerging ideas.
  1. Mentors individuals to expand their creative confidence and skillset.
  1. Identifies opportunities to improve systems and processes.
  1. Identifies creative opportunities to optimize operations.
  1. Ensures that employees have the opportunity to experience new and different things to spark their creativity.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

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  1. Functions effectively within various cultural contexts.
  1. Values the diverse perspectives from others.
  1. Helps other employees to become more culturally sensitive.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Encourages a work environment where individual differences are valued.
Please feel free to provide any comments to help explain your answers?

Performance

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Competency
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  1. Sets a high standard for job performance.
  1. Shown significant improvement in job performance.
  1. Listens and responds to issues and problems
  1. Able to organize work.
  1. Effective in performing his/her job.
Please feel free to provide any comments to help explain your answers?

Change Management

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  1. Recognizes employees who facilitate the organization making progress on the necessary changes.
  1. Helps teams and department overcome hurdles to achieving necessary changes.
  1. Is a leading force driving changes.
  1. Ensures employees are aware of how the changes will benefit the organization.
  1. Resolves internal political issues that may impact the changes.
Please feel free to provide any comments to help explain your answers?

Objectives

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  1. Encourages me to take on greater responsibility.
  1. Organizes and schedules events, activities, and resources.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Works toward achieving established goals and objectives.
  1. Assures [Company] principles are understood, employed & pursued.
Please feel free to provide any comments to help explain your answers?

Teamwork

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  1. Fosters an environment that promotes active listening on the team.
  1. Is open to new ideas that may change own goals for benefit of the team
  1. Helps the team make good decisions even under conditions of uncertainty.
  1. Makes decisions that support the team's goals and objectives.
  1. Expresses appreciation for the work of other team members.
Please feel free to provide any comments to help explain your answers?

Planning

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  1. Is able to follow the plan set in place.
  1. Able to balance the needs of multiple stakeholders in developing the plan for the division.
  1. Able to identify the needs of the department before a major change.
  1. Develops a strategic plan to reduce costs in the department.
  1. Reorders the schedule of events to maximize attendance/efficiency.
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.