Excellence - 360 Degree Feedback Survey Sample #3





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)
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:
Excellence, Communication Skills, Integrity, Passion To Learn, Managing Risk, Partnering/Networking, Company, Global Perspective
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.






Excellence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Takes a lot of pride in their work.
  1. Demonstrates the analytical skills to do their job.
  1. Can be counted on to add value wherever they are involved.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Confidently communicates across all organizational levels, including external stakeholders.
  1. Confidently interacts with all tiers of the organization.
  1. Adapts language and terminology to meet the needs of the audience.
  1. Able to deliver presentations.
  1. Considers the audience in how the communication is presented.
Please feel free to provide any comments to help explain your answers?

Integrity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops trust and confidence from others.
  1. Fosters an environment built upon trust.
  1. Demonstrates honesty and truthfulness at all times.
  1. Fosters a high standard of ethics and integrity.
  1. Accepts responsibility for mistakes.
Please feel free to provide any comments to help explain your answers?

Passion To Learn

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Is open to feedback from others.
  1. Takes initiative for own learning and development.
  1. Takes advantage of training opportunities when they arise.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops policies for risk management.
  1. Creates a risk profile for projects and teams.
  1. Prioritizes the risks to determine the most pressing needs.
  1. Integrates risk management into strategic decision making.
  1. Establishes the context for risk management activities.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Invests in other companies to form equity partnerships.
  1. Facilitates open and honest communication to build trust and mutual respect.
  1. Collaborates with other departments to streamline and improve workflow efficiency.
  1. Is an active member of professional associations or professional groups to stay connected with peers.
  1. Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.
Please feel free to provide any comments to help explain your answers?

Company

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Understands the use of [Company] products and services.
  1. Impresses upon others the important aspects of [Company].
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Follows existing procedures and processes.
  1. Understands the "basics" as to how [Company] functions/operates.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Considers customers point of view when making decisions.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. Understands global systems such as the global economy.
  1. Is aware of the culture, behaviors, identities and beliefs 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.