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.

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 make sure that employees understand how their work relates to organizational goals.
  1. You set appropriate goals for employees.
  1. You make sure that employees understand and identify with the team's mission.
  1. You stay focused even when under pressure and stress.
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. I am able to keep to the project schedule.
  1. I avoid delays by working quickly.
  1. You stay undistracted by personal devices while on the clock.
  1. You achieve more work within the limited time constraints.
  1. You implement automation wherever possible.
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 communicate goals and objectives to employees.
  1. You consistently provide me with timely feedback for improving my performance.
  1. You encourage others to take on greater responsibility.
  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. You work with others to resolve differences.
  1. You ensure relevant data is available to all committee members.
  1. You listen and attend to the ideas from others.
  1. You work to obtain a shared vision for goals and objectives of the team.
  1. You place value on the views of others in decision making.
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 create a lot of new ideas.
  1. You add value to the department/organization.
  1. You are creative and inspirational.
  1. You inspire creativity in your team.
  1. You are creative.
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. You prioritize the needs and preferences of the customer.
  1. You help customers to feel satisfied with our work/services.
  1. You deliver on commitments made to customers.
  1. You anticipate problems that the customer may encounter.
  1. You document customer interactions.
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 help employees to maintain high personal standards.
  1. You conduct regular performance appraisals and feedback.
  1. You help employees to understand responsibilities, authority, and expectations.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You develop the skills and capabilities of others.
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.