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Commitment to Result - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Commitment to Result:
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 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.
Edit this Survey
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Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are committed to the team.
  1. You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. You take immediate action toward goals.
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
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 are aware of the impact of decisions and informs others about potential outcomes.
  1. I am able to make decisions quickly.
  1. You view the long and short-term impact of decisions.
  1. You make decisions based on novel interpretations of the facts.
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 deliver messages with energy, enthusiasm, and conviction.
  1. You are persuasive and articulate when communicating.
  1. You address issues of key importance to stakeholders.
  1. I confidently interact with all tiers of the organization.
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 motivate and challenges employees to attain a shared vision.
  1. You are able to influence others.
  1. You take ownership and accountability for results
  1. You set specific, measurable, and challenging goals.
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 search for opportunities and innovative ways to improve the organization.
  1. I facilitate networking events or brainstorming sessions where employees can share insights and inspirations.
  1. You maximize the alternative solutions to problems.
  1. I optimize innovative ideas for maximum success.
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 complete multiple tasks simultaneously.
  1. You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
  1. You organize tasks for the most efficient order of completion.
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 clarify problems and their causes to help employees correct them.
  1. You check details thoroughly.
  1. You communicate ideas and facts clearly and effectively in writing.
  1. You provide a clear vision for the future.
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 design risk management activities that support the success of the company.
  1. I ensure employees are aware of potential impacts by increasing risk visibility.
  1. You determine the impact of specific risks on marketplace.
  1. I seek to reduce uncertainty (risks) in the supply chain.
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. I embrace the differences in individuals that comprise the team.
  1. You are respectful of the opinions and ideas of others.
  1. I am a committed and reliable partner.
  1. I give constructive feedback on performance reviews.
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 a person others can trust.
  1. Your behavior is ethical and honest.
  1. You take personal responsibility for results.
  1. You work in a way that makes others want to work with you.
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 take immediate action on poor performance
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  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 have positive interactions with individuals from different cultures and backgrounds.
  1. You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. You create an environment where individual differences are valued and supported.
  1. You can effectively deliver presentations to international clients.
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.