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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
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Establishes goals that allow employees top operate independently in the field.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
  1. Fosters a sense of ownership and accountability for the process/product.
  1. Helps employees advance their skills so that they can have more autonomy.
  1. Empowers employees to structure their work hours to maximize their productivity.
Please feel free to provide any comments to help explain your answers?

Recognition

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Competency
  1. Is sincerely interested in the suggestions of co-workers
  1. Recognizes the abilities and skills of self and others
  1. Readily shares credit and gives others opportunity for visibility.
  1. Offers recognition in a timely manner.
  1. Makes people around them feel appreciated and valued.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Permits flexible working and flex-time to accommodate employee needs to meet external obligations.
  1. Experiments with new ideas to create innovative solutions to issues.
  1. Able to adapt and tailor approaches based on the unique requirements of each scenario.
  1. Is open to change and new ways of doing things.
  1. Embraces issues as opportunities to learn and grow.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Holds employees accountable for completing the project successfully.
  1. Takes full responsibility for results.
  1. Sets clear performance measures.
  1. Willingly accepts the consequences for their actions.
  1. Is personally invested in the success of the organization.
Please feel free to provide any comments to help explain your answers?

Continual Learning

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Shares best practices with others and learns from others.
  1. Improves on their skill sets.
  1. Builds on their strengths while addressing their weaknesses.
  1. Takes charge of their training and skills enhancement.
  1. Participates in regular training offered.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Sets an example for others to follow
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Keep staff informed about what is happening in the company
  1. Takes responsibility for things that go wrong
Please feel free to provide any comments to help explain your answers?

Innovation

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Is able to think through complex problems using unique solutions.
  1. Fosters a creative and innovative work environment.
  1. Adequately funds innovation efforts to ensure their success.
  1. Shows flexibility and willingness to adapt to new approaches and changing market conditions.
  1. Improves on ideas of others.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Sets a good example.
  1. Sets high personal standards of performance.
  1. Is a person you can trust.
  1. Behavior is ethical and honest.
  1. Completes assigned work tasks.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Entrusts team members with executing the vision.
  1. Sets a schedule for achieving the organization's vision.
  1. Persuades others to follow the Company's vision.
  1. Translates the department's vision into actionable objectives and a strategic plan.
  1. Devoted to carrying out the strategic vision.
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.