Establishing Focus/Direction - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Establishing Focus/Direction:
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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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:
Establishing Focus/Direction, Time Management, Objectives, Collaboration, Creativity, Customer Focus, Coaching
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.






Establishing Focus/Direction

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You help guide employees with prioritizing tasks.
  1. You maintain focus when handling several problems or tasks simultaneously.
  1. You align the department's goals with the goals of the organization.
  1. You set appropriate goals for employees.
  1. You function well under stress, deadlines, and/or significant workloads.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You set time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
  1. I prioritize major tasks over smaller ones.
  1. You keep and maintain a To-Do list.
  1. I am concerned about adhering to the schedule.
  1. I manage time effectively by focusing efforts on high value tasks.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You establish goals and objectives.
  1. You communicate goals and objectives to employees.
  1. You are able to establish realistic goals.
  1. You organize and schedules events, activities, and resources.
  1. You effectively organize resources and plans
Please feel free to provide any comments to help explain your answers?

Collaboration

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I work with others to achieve common objectives.
  1. I engage with team members to build a collaborative work environment.
  1. You engage in teamwork to handle disputes positively.
  1. I encourage open dialog and sharing of information among team members.
  1. I clearly articulate the importance of collaboration in the department's values and vision.
Please feel free to provide any comments to help explain your answers?

Creativity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You develop solutions to challenging problems.
  1. You add value to the department/organization.
  1. You are creative.
  1. You inspire creativity in your team.
  1. You are creative and inspirational.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I am committed to the customer's success.
  1. I am committed to the success of the customer.
  1. You ask questions and listen carefully to determine customer needs and to ensure that the customer's needs are met.
  1. I identify the core needs of the customer.
  1. You are pro-active in dealing with customers and addressing your needs.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You help employees to understand responsibilities, authority, and expectations.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You address employee behavior problems effectively.
  1. You provide clear, motivating, and constructive feedback.
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.