Continual Improvement - 360 Degree Feedback Survey Sample #3

Questionnaires Measuring Continual Improvement:
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:
Continual Improvement, Delegation, Time Management, Creativity, Objectives, Flexibility, Empowering Others, Co-worker Development, Organizational Fluency, Planning

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.

Continual Improvement	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Please feel free to provide any comments to help explain your answers?

Delegation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Allows subordinates to use their own methods and procedures.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Please feel free to provide any comments to help explain your answers?

Time Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Sets clearly defined goals.
Uses agendas when chairing or facilitating meetings.
Focuses on tasks that have high priority.
Leaves time in the schedule for unplanned contingencies.
Avoids distractions in the workplace.
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
Is creative.
Develops solutions to challenging problems.
Inspires creativity in their team.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Please feel free to provide any comments to help explain your answers?

Objectives	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Communicates goals and objectives to employees.
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Ability to establish realistic goals.
Establishes goals and objectives.
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
Acts decisively in frequently changing and uncertain environment.
Willing to try new ideas.
Is open to alternative ways to accomplish goals
Encourages others to adopt new procedures.
Adapts to new organizational structures, policies, or procedures.
Please feel free to provide any comments to help explain your answers?

Empowering Others	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages others to obtain necessary skills and training.
Encourages employees to solve problems on their own.
Sets clear goals for others to accomplish.
Distributes the workload to subordinates.
Provides support and resources needed to accomplish goals.
Please feel free to provide any comments to help explain your answers?

Co-worker Development	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements 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
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.
Understands the current organizational culture.
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.
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
Makes plans and follows through.
Works in an organized manner
Anticipates obstacles and ways to overcome them.
Delegates role to team members to accomplish goals.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Please feel free to provide any comments to help explain your answers?