Commitment to Result - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Commitment to Results:
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:
Commitment To Result, 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.


Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are committed to the team.
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
  1. You maintain persistence and dedication to achieving results.
  1. You take immediate action toward goals.
What are your suggestions for how you can make improvements
in Commitment To Result?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You remain focused on the immediate goal when making decisions.
  1. I make creative decisions.
  1. I perform a cost/benefit analysis before making a decision.
  1. You understand factors are important for deciding if a decision is "worth it"?
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 listen attentively and without interrupting team members and customers
  1. You are persuasive and articulate when communicating.
  1. I am willing to accept feedback from others.
  1. I adapt language and terminology to meet the needs of the audience.
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 are able to align manpower, design work, an allocate tasks to achieve goals.
  1. You provide resources to enable individuals to develop professionally.
  1. You give inspiring presentations or discussions.
  1. You are a highly effective supervisor.
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. You develop new products and services.
  1. You take risks to advance important ideas.
  1. You implement best practices within the department.
  1. You build upon the ideas and solutions of others.
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. You plan and organize continuously while performing all other responsibilities and activities.
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. You organize tasks for the most efficient order of completion.
  1. You keep track of multiple assignments and deadlines.
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 write clear job descriptions for positions in the organization.
  1. You avoid stating unclear or conflicting goals.
  1. You attend to the important details of a job or task.
  1. You are clear about goals that need to be achieved.
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 monitor enterprise risk management activities for their impact and effectiveness on mitigating risks.
  1. I prioritize risks based on probability of occurrence and possible impact to the company.
  1. You offer training to reduce safety incidents in the workplace.
  1. I implement strategic risk management in an objective and tactical way.
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 value the opinions of others.
  1. I respond quickly to inquiries from potential customers.
  1. You anticipate the concerns of other employees.
  1. You assist those in the department who need help in meeting performance metrics.
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. You take personal responsibility for results.
  1. You hold yourself accountable to goals / objectives
  1. You are a person others can trust.
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 adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You work to identify root causes of performance problems
  1. You take immediate action on poor performance
  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?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. You understand global systems such as the global economy.
  1. You are able to work with others from different cultures and countries.
  1. You work well with others from different cultural backgrounds.
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.