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. Demonstrates the functional or technical skills necessary to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Is planful and organized.
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. Able to deliver presentations.
  1. Listens to others' points of view with an open mind
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Delivers information in a clear, concise, and logical manner.
  1. Deals with difficult situations calmly and confidently.
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. Follows tasks to completion.
  1. Fosters a high standard of ethics and integrity.
  1. Fosters an environment built upon trust.
  1. Demonstrates sincerity in actions with others.
  1. Develops trust and confidence from others.
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. Exhibits willingness to upgrade skills through additional training and education.
  1. Takes initiative for own learning and development.
  1. Creates an environment that supports personal development and exploration.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Embraces new technology and procedures.
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. Creates informative guides regarding potential risks and risky behaviors.
  1. Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
  1. Seeks to increase safety in the workplace.
  1. Knows how to obtain desired results with minimal losses.
  1. Works within constraints of the organization.
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. Creates the conditions for partnerships to grow and develop.
  1. Collaborates with others to accomplish goals and objectives.
  1. Develops a sense of trust in subordinates so they can freely interact and share information with others.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
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. Follows existing procedures and processes.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Attends [Company] gatherings and social events.
  1. Understands the use of [Company] products and services.
  1. Impresses upon others the important aspects of [Company].
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. Exemplifies the skills of a global worker.
  1. Aligns personal vision with global strategies.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Has positive interactions with individuals from different cultures and backgrounds.
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.