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)
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. Responds to critical concerns of stakeholders.
  1. Delivers information in a clear, concise, and logical manner.
  1. Faces the person when speaking or listening to engage in direct communication.
  1. Facilitates seamless communication across all management levels.
  1. Asks follow-up questions as needed.
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. Sets performance expectations that are clear, specific and concise.
  1. Aligns individual and team goals with the organization's goals and objectives.
  1. Measures job performance of subordinates against defined goals and objectives.
  1. Addresses poor performance sooner rather than later.
  1. Clearly articulates the performance requirements for the position.
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. Implements data validation techniques and methods.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Analyzes issues and reduces them to their component parts.
  1. Identifies opportunities for progress and innovation.
  1. 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
  1. Holds employees accountable for their quality of work.
  1. Provides advice and guidance to team members on improving quality controls.
  1. Is a role model for quality practices and standards.
  1. Addresses barriers to successfully implementing quality standards.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
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. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Generates alternative solutions to problems and challenges.
  1. Understands the root causes of problems.
  1. Identifies and assesses all potential responses to a problem.
  1. 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
  1. Takes immediate action toward goals.
  1. Coordinates all department activities into a cohesive team effort.
  1. Committed to the team.
  1. Able to focus on a task even when working alone.
  1. Willing to do whatever it takes-not afraid to have to put in extra 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
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Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops policies to address risk situations in the workplace.
  1. Adopts a risk-based approach to establishing systems of internal controls.
  1. Integrates risk management into strategic decision making.
  1. Aware of appropriate actions to minimize risks.
  1. Ensures all components of risk management are in place.
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. Is aware of federal and local laws affecting employees.
  1. Prepares and presents annual reports as required.
  1. Knows who to contact at various regulatory agencies if needed.
  1. Addresses issues quickly before they develop into major problems.
  1. Implements strategies to ensure compliance.
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. Assesses employees' developmental needs.
  1. Supports the successes of other employees.
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
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. Adept at navigating within the culture of the department.
  1. Gets things done through the department.
  1. Able to use corporate politics to advance department objectives.
  1. Understands the current organizational culture.
  1. Effective in communicating with others within the organization.
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.