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. Committed to the team.
  1. Encourages commitment in others to obtain results.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Coordinates all department activities into a cohesive team effort.
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. Allows for flexibility in the agenda for the team meeting.
  1. Is flexible in considering different viewpoints.
  1. Possesses a high degree of flexibility to meet the challenges posed by unforeseen circumstances.
  1. Adapts to different learning styles of employees as required to make sure employees receive the highest level of training.
  1. Exhibits exceptional adaptability in responding to unexpected challenges.
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. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
  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. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Values the diverse perspectives from others.
  1. May advocate for others with different cultural backgrounds.
  1. Encourages a work environment where individual differences are valued.
  1. Respects others regardless of age, race, gender, nationality, or disability.
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. Effective in performing his/her job.
  1. ...Produce Quality
  1. Works effectively in the department.
  1. Has great overall performance
  1. Able to organize work.
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
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Exhibits this
Competency
Always
Exhibits this
Competency
  1. Inspires others to accept changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Adopts changes to set and example for others to follow.
  1. Addresses organizational and departmental resistance to changes.
  1. Assists others in understanding changes to the organization.
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. Sets long-term and short-term goals.
  1. Communicates goals and objectives to employees.
  1. Establishes goals and objectives.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Consistently provides me with timely feedback for improving my performance.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Promotes open communication on the team.
  1. Fosters teamwork rather than individual competition
  1. Finds opportunities to recognize and reward team members.
  1. Committed to the successful completion of team goals.
  1. Able to work closely other team members who are considered to be difficult to work with.
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. Works in an organized manner
  1. Determines the amount of materials/supplies needed for the project.
  1. Assesses the potential impact of changes to the strategic plan.
  1. Always has a "Plan-B" ready if needed.
  1. Assigns the right tasks to the right people and holds them accountable.
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.