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Continuous Improvement - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Continuous 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)
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.

Competencies Included:
Continuous Improvement, Delegation, Time Management, Creativity, Objectives, Flexibility, Empowering Others, Co-worker Development, Organizational Fluency, 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.



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Continuous Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Analyzes workflow data to identify bottlenecks and implements targeted improvements to increase efficiency.
  1. Promotes the adoption of Six Sigma methodologies into the production process.
  1. Keeps up to date on newest research and technology.
  1. Develops and promotes top-tier performance benchmarks across the organization.
  1. Analyzes defect, scrap, or rework data to pinpoint where quality breakdowns occur.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Leverages employees' natural curiosity and enthusiasm for certain work areas to drive performance.
  1. Recognizes employees' unique capabilities and identifies opportunities for growth.
  1. Clearly defines roles, responsibilities, and autonomy to avoid ambiguity.
  1. Evaluates employees' proficiency in various competencies to align tasks with their expertise.
  1. Uses delegation as a powerful opportunity to train employees.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
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Competency
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Competency
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  1. Efficiently uses time available.
  1. Integrates automation into the process whenever feasible.
  1. Anticipates bottlenecks and proactively redistributes time to mitigate delays.
  1. Maximizes time management by multitasking.
  1. Allocates full attention to completing critical tasks.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
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Competency
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  1. Reflects on past outcomes to inform more creative future decisions.
  1. Blends ideas from different domains to spark innovation.
  1. Leverages interdepartmental connections to fuel creative solutions.
  1. Able to create innovative products even when under specific constraints and requirements.
  1. Reframes problems in novel ways to unlock new solutions.
Please feel free to provide any comments to help explain your answers?

Objectives

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  1. Able to organize work.
  1. Encourages me to take on greater responsibility.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Establishes goals and objectives.
  1. Works toward achieving established goals and objectives.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Works effectively during periods of change.
  1. Experiments with new ideas to create innovative solutions to issues.
  1. Encourages flexibility in the onboarding process.
  1. Shows a readiness to adapt and optimize.
  1. Remains calm when dealing with multiple issues.
Please feel free to provide any comments to help explain your answers?

Empowering Others

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Competency
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Competency
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Competency
  1. Encourages independent, original thinking and creative problem-solving.
  1. Encourages employees to define their own goals and success metrics for assigned work.
  1. Recognizes the importance of a healthy work/life balance.
  1. Provides access to training, certifications, or learning experiences tailored to individual growth.
  1. Enables employees to take on more challenging roles.
Please feel free to provide any comments to help explain your answers?

Co-worker Development

Does Not
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Competency
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Competency
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Competency
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  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
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Competency
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Competency
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Competency
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Competency
  1. Effective in communicating with others within the organization.
  1. Understands the current organizational culture.
  1. Adept at navigating within the culture of the department.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Understands departmental policies and procedures.
Please feel free to provide any comments to help explain your answers?

Planning

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Competency
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Competency
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  1. Determines the allocation of funds based on plans for future development.
  1. Assesses the potential impact of changes to the strategic plan.
  1. Ensures staff are held accountable for following the department plan.
  1. Creates effective project plans.
  1. Prioritizes tasks and allocates resources.
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.