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)
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)
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.

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.







Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Able to communicate ideas effectively and succinctly to both individuals and groups, in any setting.
  1. Articulates ideas clearly and assertively.
  1. Keeps open and regular communication with others.
  1. Overcomes barriers that prevent effective communication.
  1. Can effectively deliver presentations.
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
  1. Uses timely and appropriate corrective/disciplinary actions.
  1. Sets performance expectations that are clear, specific and concise.
  1. Recognizes people who provide outstanding leadership in planning, organizing.
  1. Assigns responsibility for meeting specific objectives.
  1. Rewards exceptional individuals with additional responsibilities.
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
  1. Identifies opportunities for progress and innovation.
  1. Identifies the root cause of a problem.
  1. Uses appropriate techniques to solve problems.
  1. Analyzes issues and reduces them to their component parts.
  1. Prioritizes various actions to be taken when solving 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
  1. Develops processes to enhance quality standards.
  1. Regularly measures product specifications to ensure uniformity and quality control.
  1. Adopts, integrates, and disseminates quality guidelines and standards.
  1. Creates effective policies regarding quality of services and products.
  1. Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
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
  1. Is a good problem solver and decision maker
  1. Ability to develop innovative solutions to problems.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Identifies and assesses all potential responses to a problem.
  1. Makes judgments based upon relevant information.
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
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Takes immediate action toward goals.
  1. Committed to the team.
  1. Able to focus on a task even when working alone.
  1. Encourages commitment in others to obtain results.
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
  1. Determines if the level of risk is tolerable.
  1. Determines the proper tools to efficiently manage the risk.
  1. Performs monthly risk management assessments.
  1. Aware of appropriate actions to minimize risks.
  1. Monitors the effectiveness of risk management strategies.
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
  1. Knows who to contact at various regulatory agencies if needed.
  1. Reviews anti-retaliation policies to ensure compliance with government standards.
  1. Effectively manages a department of compliance officers.
  1. Effectively communicates the importance of meeting compliance standards.
  1. Develops and implements appropriate reporting channels.
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
  1. Creates opportunities for professional development.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Recognizes and celebrates accomplishments of others.
  1. Tries to ensure employees are ready to move to the next level.
  1. Provides constructive feedback to others.
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
  1. Understands departmental policies and procedures.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.
  1. Gets things done through the department.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
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.