Commitment to Result - 360 Degree Feedback Survey Sample #3





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)
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 To Result, 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.




Commitment To Result

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Coordinates all department activities into a cohesive team effort.
  1. Takes immediate action toward goals.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Open to the perspectives/viewpoints of others.
  1. Works effectively during periods of change.
  1. Is open to alternative ways to accomplish goals
  1. Identifies new opportunities to achieve goals
  1. Effective in incorporating new ideas.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops solutions to challenging problems.
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Is creative and inspirational.
  1. Is creative.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Understands how their own cultural background can impact the way they communicate and interact with others.
  1. Helps other employees to become more culturally sensitive.
  1. Functions effectively within various cultural contexts.
  1. Understands the impact that our culture may have on interactions between individuals.
  1. Interacts effectively with people from different cultural backgrounds.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works effectively in the department.
  1. Effectively organizes resources and plans
  1. Works well in this position.
  1. Able to organize work.
  1. Listens and responds to issues and problems
Please feel free to provide any comments to help explain your answers?

Change Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Facilitates change with minimal resistance.
  1. Is a leading force driving changes.
  1. Able to get team members to change their attitudes.
  1. Inspires others to want to change.
  1. Addresses organizational and departmental resistance to changes.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Assures [Company] principles are understood, employed & pursued.
  1. Communicates goals and objectives to employees.
  1. Ability to establish realistic goals.
  1. Able to organize work.
  1. Sets long-term and short-term goals.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
Always
Exhibits this
Competency
  1. Relates to all kinds of people tactfully
  1. Shares resources and information with the team.
  1. Helps the team bounce back from obstacles to progress.
  1. Makes decisions that support the team's goals and objectives.
  1. Effective team player
Please feel free to provide any comments to help explain your answers?

Planning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Sets up and monitors timeframes and plans
  1. Anticipates the impacts of strategic plans.
  1. Creates to-do lists to make sure nothing is missed.
  1. Creates effective logistics plans to achieve high operational 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.