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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. Optimizes resource allocation to ensure equipment, materials, and labor are used at peak effectiveness.
  1. Encourages employees to challenge existing processes and propose innovative alternatives.
  1. Encourages and supports the use of Six Sigma tools to improve production quality.
  1. Standardizes best-practice methods to ensure consistent, high-efficiency execution across teams or shifts.
  1. Aligns work processes with established best-practice approaches.
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. Secures employee agreement on the delegated responsibility.
  1. Encourages and empowers others to use initiative in achieving goals and objectives.
  1. Avoids an arbitrary delegation of duties, which can lead to inefficiencies or frustration.
  1. Entrusts employees with tasks that reflect their core proficiencies, fostering accountability and confidence.
  1. Ensures subordinates understand how their tasks contribute to team or company goals.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Stays on track by effectively using the project schedule.
  1. Prefers to utilize automated workflows.
  1. Encourages colleagues to spend more time on work related activities.
  1. Directs energy toward strategic priorities to ensure alignment with organizational goals.
  1. Determines which tasks need to be completed urgently.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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  1. Allows employees to work a certain percentage of time on projects that personally interest them.
  1. Open to new ideas and understanding.
  1. Generates new insights and understandings.
  1. Engages the team in brainstorming sessions to develop creative ideas.
  1. Poses thought-provoking questions that spark new ideas.
Please feel free to provide any comments to help explain your answers?

Objectives

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Competency
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Competency
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Competency
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  1. Able to organize work.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Communicates goals and objectives to employees.
  1. Sets long-term and short-term goals.
  1. Effectively organizes resources and plans
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
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Competency
  1. Able to change the workflow as needed to facilitate changes in regulations or policies.
  1. Adapts quickly to new technologies that impact the production line.
  1. Accommodates the needs of employees as best as possible when requests for time off are made.
  1. Able to make changes to their leadership style after receiving constructive feedback through the performance review.
  1. Introduces new products or services.
Please feel free to provide any comments to help explain your answers?

Empowering Others

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Helps employees prioritize goals when workload or competing demands create ambiguity.
  1. Encourages employees to make informed decisions based on their own judgment and reasoning.
  1. Recognizes the contributions that others make to the department.
  1. Facilitates group discussions that surface diverse viewpoints before making decisions.
  1. Allows subordinates to perform mission critical tasks.
Please feel free to provide any comments to help explain your answers?

Co-worker Development

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

Organizational Fluency

Does Not
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Competency
Seldom
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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. Adept at navigating within the culture of the department.
  1. Understands departmental policies and procedures.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Gets things done through the department.
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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Competency
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Competency
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Exhibits this
Competency
  1. Establishes and monitors timeframes and timelines.
  1. Prioritizes tasks and allocates resources.
  1. Anticipates resources needed to successfully implement a plan or project.
  1. Develops strategic plans for ensuring competitiveness in the marketplace.
  1. Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
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.