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Excellence - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Excellence:
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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Excellence, Bias for Action, Leadership, Supervisory Skills, Persuasion and Influence, Decision Making, Innovation, Adaptability, Juggling Multiple Responsibilities, Technology Use/Management, Regulatory/Compliance, Client Focus, Teamwork, Strategic Focus
Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made between . The survey will only be available during these dates.
Edit this Survey
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Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You can be counted on to add value wherever you are involved.
  1. You keep yourself and others focused on constant improvement.
  1. You produce high quality work.
  1. You demonstrate the functional or technical skills necessary to do your job.
What are your suggestions for how you can make improvements
in Excellence?

Bias for Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I react quickly to emerge situations and needs.
  1. I recognize opportunities for improvement or areas that need attention.
  1. I encourage and support team members to take initiative and overcome challenges.
  1. I foster a culture of action orientation.
What are your suggestions for how you can make improvements
in Bias for Action?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You encourage peer-to-peer feedback and open communication across the team.
  1. I encourage employees to ask questions and engage in dialogue about feedback.
  1. I challenge senior leadership respectfully when their decisions conflict with core values or long-term goals.
  1. You expect employees to represent the organization with excellence at all times.
What are your suggestions for how you can make improvements
in Leadership?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You effectively determines which issues need immediate attention.
  1. You give employees the ability to complete their tasks as they see fit.
  1. You are respectful toward employees.
  1. You delegate tasks to employees according to their skills (skill level).
What are your suggestions for how you can make improvements
in Supervisory Skills?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am calm and avoid emotional outbursts.
  1. I stand firm on principles, even when under pressure to compromise for short-term gain.
  1. You build coalitions by enrolling influential voices in shaping and communicating the vision.
  1. You deconstruct complex or emotionally charge topics into manageable points to guide rational decision-making.
What are your suggestions for how you can make improvements
in Persuasion and Influence?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You frame decisions in compelling narratives that inspire buy-in and clarify vision.
  1. You recognize and generates innovative solutions.
  1. You decide which long-term goals should be met.
  1. I use iterative, user-centered approaches to prototype and refine ideas before finalizing decisions.
What are your suggestions for how you can make improvements
in Decision Making?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You develop effective solutions for viewing problems from a different point of view.
  1. I foster a creative and dynamic work environment where employees feel empowered to contribute to the company's growth and success.
  1. You offer innovative solutions to Company problems.
  1. You are able to think through complex problems using unique solutions.
What are your suggestions for how you can make improvements
in Innovation?

Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You pivot quickly in response to shifting project needs.
  1. You make adjustments as need to meet the demands of a dynamic marketplace.
  1. You perform a wide range of tasks, respond to changes in direction and priorities and accept new challenges, responsibilities, and assignments.
  1. You are willing to see things from others' perspectives.
What are your suggestions for how you can make improvements
in Adaptability?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create, use and maintain "To-do" lists.
  1. You coordinate the work of a team by assigning tasks to other team members.
  1. You monitor progress frequently to maintain on schedule.
  1. You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  1. You support employee training and development initiatives regarding implementation of technology.
  1. You use technology in decision making and problem solving.
  1. You adopt the implementation of new technology into the workplace.
What are your suggestions for how you can make improvements
in Technology Use/Management?

Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I coordinate with legal counsel in conducting audits of legal compliance.
  1. I effectively manage a department of compliance officers.
  1. I facilitate training sessions to educate employees on how to use reporting tools effectively.
  1. I investigate risk mitigation strategies.
What are your suggestions for how you can make improvements
in Regulatory/Compliance?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I build long term relationships with clients.
  1. You anticipate client needs.
  1. You create innovative solutions for the clients.
  1. You are able to handle difficult clients.
What are your suggestions for how you can make improvements
in Client Focus?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You emphasize the importance of getting individuals to work as a team
  1. You facilitate team discussions and problem-solving
  1. I facilitate effective teamwork during periods of change.
  1. You promote open communication on the team.
What are your suggestions for how you can make improvements
in Teamwork?

Strategic Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I identify and understand competitors in the marketplace.
  1. I implement and execute the company's strategy for advancing production capabilities.
  1. I am effective in strategy formulation and execution.
  1. I understand the importance of developing strategic capabilities.
What are your suggestions for how you can make improvements
in Strategic Focus?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.