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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)
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:
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.



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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. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Takes immediate action on poor performance
  1. Works to identify root causes of performance problems
  1. Gives others development opportunities through project assignments and increased job responsibilities
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. Forms working relationships with employees from other departments.
  1. Helpful
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Works effectively with people from other departments.
  1. Consistently demonstrates ability and willingness to trust others.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
  1. Summarizes the question to verify comprehension.
  1. Effectively delivers presentations to teams, large groups, and diverse audiences
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. Uses polite language and shows respect for others' opinions and time.
  1. Responds in a timely manner, respecting deadlines and others' schedules.
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. Responds positively to unanticipated changes in the work schedule.
  1. Adapts to new organizational structures, policies, or procedures.
  1. Is able to make accommodations needed for changes to the working conditions.
  1. Able to deal with uncertain and unpredictable events.
  1. Able to maintain productivity and effectiveness no matter the context.
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 through personal behavior the commitment to high standards of performance.
  1. Is open to feedback from others.
  1. Is open minded and curious about learning new skills.
  1. Stays up-to-date on emerging technologies.
  1. Is committed to enhancing their own knowledge and skills.
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. Arrives to meetings on time.
  1. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
  1. Responds to requests for information in a timely manner.
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
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Competency
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Exhibits this
Competency
  1. Understanding what others need.
  1. Communicates effectively with others.
  1. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.
  1. Attempts to persuade others rather than simply control them.
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. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Clearly defines duties and tasks to be completed.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
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. Uses tools like Gantt charts and resource calendars can help visualize and manage solutions.
  1. Collects relevant information and data.
  1. Open to the suggestions of others when working on a problem.
  1. Plans the order of actions, considering any interdependent steps.
  1. Ensures that team members stay on track to implementing the solution and address any issues that arise.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
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Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Reviews documentation, processes and practices.
  1. Ensures the company is in compliance with all laws regarding the production and transportation of product.
  1. Creates an oversight panel to provide comprehensive supervision for the organization.
  1. Maintains a compliance data recordkeeping system.
  1. Creates and administers training initiatives on compliance and 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. Recognizes the needs of customers.
  1. Creates a vision for the organization based on insights gathered from other companies in the industry.
  1. Works with others to develop insights into the resources and actions required to produce desired results.
  1. Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. Communicates with employees to find out their needs.
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.