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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)
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:
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.



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Excellence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages a culture where people step up and support one another.
  1. Seeks objective feedback from others.
  1. Takes a lot of pride in their work.
  1. Shows deep personal motivation to reach the highest standards.
  1. Models a commitment to lifelong learning through active participation in online and in-person programs.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Competency
  1. Keeps an open-door policy to provide support and guidance.
  1. Understands and adjusts presentations to the needs of the audience.
  1. Provides follow-up information and seeks to avoid misunderstandings.
  1. Provides feedback in a helpful and respectful way, focusing on improvement.
  1. Communicates crucial information to others.
Please feel free to provide any comments to help explain your answers?

Integrity

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. Creates a compliance and ethics culture where integrity is at the core of all decisions.
  1. Shares all pertinent information, not just information from one side or perspective.
  1. Takes ownership for the process and outcomes.
  1. Ensures that all work is done to the highest standard, leading to better quality products and services.
  1. Upholds strong moral and ethical standards, even when faced with challenges or temptations to compromise.
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
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Competency
Always
Exhibits this
Competency
  1. Is open minded and curious about learning new skills.
  1. Takes advantage of training opportunities when they arise.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Enhances value to the company through additional training and development.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
  1. Seeks to add value to the company by embracing risk.
  1. Minimizes operational setbacks and delays.
  1. Communicates risk policies into clear, actionable steps for employees.
  1. Takes calculated risks by effectively recognizing and managing them.
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
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Competency
Always
Exhibits this
Competency
  1. Forms alliances with complementary organizations to promote business operations.
  1. Balances the strategic interests of those involved to maintain alliances.
  1. Identifies areas in the partnership that require corrective action.
  1. Encourages employees to explore new partnership opportunities to expand market presence.
  1. Partners with supply chain companies to enhance availability of resources and material.
Please feel free to provide any comments to help explain your answers?

Company

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Anticipates resource needs and proactively secures tools that support evolving workflows.
  1. Provides corporate trainers that are experts in their respective fields.
  1. Helps employees see how their work contributes to building something enduring and meaningful.
  1. Staffs the department to handle both day-to-day operations and unexpected challenges.
  1. Makes a real difference in the communities we serve.
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. Seeks input from colleagues and partners in different regions to understand how global events or market conditions are perceived locally, ensuring decisions reflect diverse perspectives.
  1. Facilitates open communication with individuals from other countries.
  1. Assesses overseas vendors for capabilities, maturity, technology stack, and cultural fit.
  1. Identifies gaps in the company's capabilities that could be filled through partnership.
  1. Facilitates cross-border collaboration by translating complex local issues into globally relevant terms that colleagues in other regions can easily understand.
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.