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.

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. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Works to identify root causes of performance problems
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
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. Includes others in the decision making processes.
  1. Able to see issues from others' perspectives.
  1. Forms working relationships with employees from other departments.
  1. ...treats others with respect and dignity.
  1. Helpful
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. Communicates effectively with colleagues and customers
  1. Speaks clearly, fluently, and in a compelling manner to both individuals and groups.
  1. Provides followup information and seeks to avoid misunderstandings.
  1. Verifies understanding throughout discussions.
  1. Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
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. Acts decisively in frequently changing and uncertain environment.
  1. Willing to change strategies, operations, or processes in to meet new challenges or seize new opportunities.
  1. Encourages a culture of experimentation and innovation.
  1. Works effectively during periods of change.
  1. Embraces change, values feedback, and is willing to experiment with different methods to find the most effective solutions.
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. Will participate in training classes even if offered outside of normal working hours.
  1. Is open minded and curious about learning new skills.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Stays up-to-date on emerging technologies.
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. Avoids making personal phone calls during working hours.
  1. Invoices clients on a timely basis.
  1. Starts meetings on time.
  1. Maintains an efficient schedule of activities.
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. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
  1. Has excellent influencing/negotiating skills.
  1. Communicates effectively with others.
  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 tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  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. Implements effective solutions to critical problems.
  1. Actively seeks the root cause of a problem.
  1. Generates alternative solutions to problems and challenges.
  1. Effective in solving problems.
  1. Ability to solve problems at root cause rather than at symptom level.
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. Periodically assesses the effectiveness of regulatory/compliance programs.
  1. Performs regular compliance audits.
  1. Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
  1. Creates necessary compliance policies and procedures.
  1. Offers training on various subjects to help ensure employees are aware of 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. Develops a strategic vision for the future.
  1. Analyzes unique issues or problems impacting the Company.
  1. Ensures that the department's goals are strategically aligned with the company's goals.
  1. Creates a vision for the organization based on insights gathered from other companies in the industry.
  1. Creates strategies that significantly benefit 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.