Global Perspective- 360 Degree Feedback Survey Sample #3





Competencies Included:
Global Perspective, Company, Accountability, Action, Continual Improvement, Professional Development, Emotional Intelligence, Management, Delegation, Administrative Skill, Technology Use/Management
Surveys Measuring Global Perspective:
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.

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.




Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Sets the example for team on importance of cultural awareness.
  1. Facilitates open communication with individuals from other countries.
  1. Understands how cultures differ and how these differences impact work behavior.
Please feel free to provide any comments to help explain your answers?

Company

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Attends [Company] gatherings and social events.
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Impresses upon others the important aspects of [Company].
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Documents performance goals through an individual development plan.
  1. Takes full responsibility for team's lack of progress.
  1. Accepts responsibility to lead efforts to solving critical problems.
  1. Handles sensitive information with discretion and confidentiality.
  1. Willing to answer for their own actions and performance.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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  1. Approves purchase requests in a timely manner.
  1. Gladly accepts new challenges and works on them with urgency.
  1. Changes course to meet the needs of a new situation.
  1. Sets high standards for themselves and others.
  1. Delegates tasks and assignments to subordinates as soon as a request has been made.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand current job responsibilities.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Please feel free to provide any comments to help explain your answers?

Professional Development

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
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Competency
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Competency
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Keep themselves up-to-date of technical/professional issues
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for continuous learning.
  1. Encourages employees to take courses relevant to their job.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Is able to control their own emotions.
  1. Able to understand others' points of view.
  1. Is able to manage their own emotions.
  1. Is able to express themselves clearly.
  1. Accurately perceives the emotional reactions of others.
Please feel free to provide any comments to help explain your answers?

Management

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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Exhibits this
Competency
  1. Makes you feel enthusiastic about your work
  1. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Delegate tasks effectively
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Allows subordinates to use their own methods and procedures.
  1. Clearly defines duties and tasks to be completed.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Tells subordinates what to do, not how to do it.
Please feel free to provide any comments to help explain your answers?

Administrative Skill

Does Not
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Competency
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  1. Implements and uses performance measures.
  1. Able to develop, justify and present a budget.
  1. Enthusiastic about taking on challenging projects.
  1. Takes responsibility for decisions.
  1. Completes reports on-time.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Uses technology in decision making and problem solving.
  1. Supports technical training and development of employees.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
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.