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Empowering Others- 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Empowering Others:
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:
Empowering Others, Recognition, Flexibility, Accountability, Continual Learning, Management, Innovation, Responsible, Vision
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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Empowering Others

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
  1. Values the input from others.
  1. Recognizes the accomplishments of employees when they complete important assignments.
  1. Gives employees autonomy to complete tasks on their own.
  1. Gives employees the resources they need to complete the job.
  1. Encourages employees to expand their skills in order to take on greater responsibilities.
Please feel free to provide any comments to help explain your answers?

Recognition

Does Not
Exhibit this
Competency
Seldom
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  1. Is mindful of diversity in contributions, recognizing not only visible successes but also behind-the-scenes work that supports the team.
  1. Uses Spot awards or Extra Effort awards to help motivate employees.
  1. Encourages peers and colleagues to recognize each other when their work fits in with the company mission and core values.
  1. Creates awards that reflect specific company values.
  1. Uses Eco-Friendly awards to incentivize employees to conserve natural resources.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
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Competency
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  1. Capable of adjusting to necessary modifications in the work environment.
  1. Encourages adaptability to utilize more efficient processes.
  1. Adapts strategies to fit the specific needs of each situation.
  1. Demonstrates flexibility in thoughts and actions.
  1. Can seamlessly transition between various environments and situations.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
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Competency
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  1. Always keeps the supervisor informed of relevant information.
  1. Shows up for work on time.
  1. Documents performance goals through an individual development plan.
  1. Tackles issues head on and finds solutions.
  1. Is personally invested in the success of the organization.
Please feel free to provide any comments to help explain your answers?

Continual Learning

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Competency
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  1. Views setbacks as opportunities to learn from.
  1. Participates in regular training offered.
  1. Takes charge of their training and skills enhancement.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Pursues self-improvement through continual learning.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
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  1. Effectively allocates resources to sustain and grow the business/department.
  1. Identifies key strategic factors, risks, and opportunities that impact the organization.
  1. Aligns individual capabilities and development needs to optimize team execution of the project plan.
  1. Encourages employees to avoid distractions from personal phone or other personal devices.
  1. Encourages employees create their own solutions to problems.
Please feel free to provide any comments to help explain your answers?

Innovation

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  1. Helps focus the department on innovation.
  1. Offers constructive improvements to existing systems.
  1. Implements best practice methods within the Company.
  1. Transforms raw ideas into actionable plans with a higher likelihood of successful implementation.
  1. Offers solutions to problems when talking with clients.
Please feel free to provide any comments to help explain your answers?

Responsible

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Competency
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  1. Sets high personal standards of performance.
  1. Works in a way that makes others want to work with her/him.
  1. Is a person you can trust.
  1. Behavior is ethical and honest.
  1. Sets a good example.
Please feel free to provide any comments to help explain your answers?

Vision

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  1. Establishes a clear vision for where the company should be heading.
  1. Supports a culture of the department that is willing to implement the company's vision.
  1. Models a strategic vision based on insights gained from in depth investigations into the performance of the company.
  1. Demonstrates conviction and enthusiasm when discussing the vision, energizing the team.
  1. Works to support the strategy of [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.