Coworker Development- 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Coworker Development:
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.

Competencies Included:
Co-worker Development, Others, Communication Skills, Flexibility, Passion To Learn, Punctuality, Persuasion and Influence, Delegation, Problem Solving, Regulatory/Compliance, Strategic Insight
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.




Co-worker Development

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

Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Constructively receives criticism and suggestions from others.
  1. Helpful
  1. Works across boundaries within the organization.
  1. Works effectively with people from other departments.
  1. Able to see issues from others' perspectives.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delivers information in a clear, concise, and logical manner.
  1. Listens to others' points of view with an open mind
  1. Communicates effectively with all levels of the organization.
  1. Delivers well-prepared, informed, poised and succinct presentations.
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
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
  1. Able to adapt to new situations.
  1. Encourages others to adopt new procedures.
  1. Open to the perspectives/viewpoints of others.
  1. Acts decisively in frequently changing and uncertain environment.
  1. Willing to try new ideas.
Please feel free to provide any comments to help explain your answers?

Passion To Learn

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Enhances value to the company through additional training and development.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Inspires others to learn new things.
  1. Creates an environment that supports personal development and exploration.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Starts the workday when scheduled.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Attempts to persuade others rather than simply control them.
  1. Understanding what others need.
  1. Ensures stakeholders are involved in the decision making process.
  1. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
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
  1. Assigns tasks to create learning opportunities for the employees.
  1. Tells subordinates what to do, not how to do it.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Allows subordinates to use their own methods and procedures.
  1. Defines goals and objectives for subordinates.
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. Works cooperatively with others to solve problems.
  1. Ability to develop innovative solutions to problems.
  1. Actively seeks the root cause of a problem.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Is a good problem solver and decision maker
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. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Understands the applicable regulations and laws that impact our business.
  1. Maintains compliance with federal, state, and local laws.
  1. Is professional and courteous in interactions with auditors and regulators.
  1. Is aware of the documents and reports needed to maintain compliance with regulations.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Creates strategies that significantly benefit the Company.
  1. Observes employees at work to get better insight into the issues they are dealing with.
  1. Implements long-term solutions to problems.
  1. Analyzes unique issues or problems impacting the Company.
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.