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. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Works to identify root causes of performance problems
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  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. Treats others with respect and dignity.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Forms working relationships with employees from other departments.
  1. Works effectively with people from other departments.
  1. Is 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. Updates others on changes or progress in plans and goals.
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
  1. Prepares and delivers presentations.
  1. Presents clear and persuasive information in reports.
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 maintain productivity and effectiveness no matter the context.
  1. Incorporates new skills fluently.
  1. Exhibits exceptional adaptability in responding to unexpected challenges.
  1. Continuously learning and adapting new techniques to address evolving challenges.
  1. Expands productive capacity as demand for services increases.
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. Is open minded and curious about learning new skills.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Embraces new technology and procedures.
  1. Enhances value to the company through additional training and development.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
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. Conducts appointments at scheduled start time.
  1. Responds to requests for information in a timely manner.
  1. Avoids making personal phone calls during working hours.
  1. Arrives to meetings on 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. Persuades others to consider alternative points of view.
  1. Understanding what others need.
  1. Has excellent influencing/negotiating skills.
  1. Ensures stakeholders are involved in the decision making process.
  1. Develops a good rapport with others.
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. Tells subordinates what to do, not how to do it.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Defines goals and objectives for subordinates.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Entrusts subordinates with important tasks.
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. Able to balance the needs of different people in a solution to a problem.
  1. Finds creative ways to get things done with limited resources.
  1. Ability to develop innovative solutions to problems.
  1. Identifies and assesses all potential responses to a problem.
  1. Actively seeks the root cause of a problem.
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. Offers training to employees to ensure they comply with regulations.
  1. Establishes a governance body to monitor and guide the organization's activities.
  1. Explains regulations and procedures to others as required.
  1. Maintains historical records and documents as needed/required.
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. Inspires employees to adopt the strategic plan.
  1. Understands how to strategically grow the business and increase customers.
  1. Maintains knowledge of current trends in the industry.
  1. Observes employees at work to get better insight into the issues they are dealing with.
  1. Develops a plan and strategy for each functional area within the mission statement.
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.