Communication - 360 Degree Feedback Survey Sample #3

Questionnaires Measuring Communication:
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)

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:
Communication Skills, Managing Performance, Analytical, Quality, Problem Solving, Commitment To Result, Managing Risk, Regulatory/Compliance, Developing Others, Organizational Fluency

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 a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Communication Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is an effective communicator
Communications with department leadership
Able to demonstrate persuasiveness in pursuit of objectives.
Listens to others' points of view with an open mind
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Please feel free to provide any comments to help explain your answers?

Managing Performance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Recognizes and values good performance.
Sets and maintains high standards for self and others.
Measures performance against goals and objectives.
Is consistent in disciplinary/corrective actions.
Addresses grievances sooner rather than later.
Please feel free to provide any comments to help explain your answers?

Analytical	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Can effectively interpret and analyze data.
Actively seeks constructive feedback from others.
Uses appropriate techniques to solve problems.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies the root cause of a problem.
Please feel free to provide any comments to help explain your answers?

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Holds employees accountable for their quality of work.
Please feel free to provide any comments to help explain your answers?

Problem Solving	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Ability to solve problems at root cause rather than at symptom level.
Is a good problem solver and decision maker
Works cooperatively with others to solve problems.
Effective in solving problems.
Solves problems using logic and insight.
Please feel free to provide any comments to help explain your answers?

Commitment To Result	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Maintains persistence and dedication to achieving results.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Please feel free to provide any comments to help explain your answers?

Managing Risk	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Bases decisions on patterns found in fluid/changing information.
Seeks to retain the best and brightest employees.
Maintains open communication with other departments.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Able to adapt quickly to changing situations.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Understands the applicable regulations and laws that impact our business.
Follows all safety regulations and procedures.
Maintains a state of readiness to address new and changing regulations and procedures.
Keeps informed of various regulations and procedures.
Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Please feel free to provide any comments to help explain your answers?

Developing Others	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Sets performance objectives for subordinates that encourages development opportunities.
Creates opportunities for professional development.
Provides constructive feedback to others.
Encourages employees through recognition of positive changes in behavior.
Creates a work environment that fosters positive feedback to employees.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
Please feel free to provide any comments to help explain your answers?