Goals - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Goals:
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:
Goals, Managing Risk, Regulatory/Compliance, Customer Focus, Self Management, Supervisory Skills, Performance, Problem Solving, Innovation, Empowering Others, Business Acumen, Strategic Insight, Organizational Fluency
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.






Goals

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Seldom
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  1. Achieves goals.
  1. Establishes and documents goals and objectives.
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that I have a clear idea of our group's goals.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
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Competency
Seldom
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  1. Is knowledgeable of standard risk management principles.
  1. Creates a risk management strategy for the organization.
  1. Determines the impact of specific risks on reputation.
  1. Turns risks into opportunities for advancement.
  1. Integrates risk management into strategic decision making.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
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  1. Reviews transactions for potential misconduct.
  1. Implements regulatory compliance strategies.
  1. Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
  1. Ensures the company is in compliance with all laws regarding the production and transportation of product.
  1. Keeps track of changes in legislation affecting regulatory compliance.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
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  1. Has received good feedback from customers.
  1. Is pro-active in dealing with customers and addressing their needs.
  1. Responds to feedback from customers.
  1. Makes sure customer needs are understood by the team members.
  1. Anticipates potential obstacles to meeting customer needs.
Please feel free to provide any comments to help explain your answers?

Self Management

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Competency
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  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Uses patience and self-control in working with customers and associates.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Does not allow own emotions to interfere with the performance of others.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

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Competency
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  1. Facilitates open communication between employees.
  1. Decides what supplies need to be purchased.
  1. Is respectful toward employees.
  1. Resolves disputes in a way that quickly reaches mutual agreement.
  1. Ensures employees know what they need to complete during the shift.
Please feel free to provide any comments to help explain your answers?

Performance

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  1. Effective in performing his/her job.
  1. Able to organize work.
  1. Listens and responds to issues and problems
  1. Has great overall performance
  1. Effectively organizes resources and plans
Please feel free to provide any comments to help explain your answers?

Problem Solving

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  1. Effective in solving problems.
  1. Finds creative ways to get things done with limited resources.
  1. Generates alternative solutions to problems and challenges.
  1. Makes judgments based upon relevant information.
  1. Understands the root causes of problems.
Please feel free to provide any comments to help explain your answers?

Innovation

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  1. Fosters a creative and innovative work environment.
  1. Finds creative ways to get things done with limited resources.
  1. Searches for opportunities and innovative ways to improve the organization.
  1. Offers constructive improvements to existing systems.
  1. Solves problems with insight and understanding.
Please feel free to provide any comments to help explain your answers?

Empowering Others

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  1. Values the expertise that others bring to the team.
  1. Recognizes the accomplishments of employees when they complete important assignments.
  1. Provides support and resources needed to accomplish goals.
  1. Gives employees the opportunity to make their own decisions at work.
  1. Allows employees to participate in the workload of the department.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. Gathers important information from customers to make sure our products are relevant and useful.
  1. Understands financial terminology, statements.
  1. Anticipates marketplace opportunities and supports speed to market.
  1. Identifies potential regulatory risks and strategies to mitigate them.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Please feel free to provide any comments to help explain your answers?

Strategic Insight

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  1. Creates a mission statement describing the purpose for the organization.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Develops a plan and strategy for each functional area within the mission statement.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Implements long-term solutions to problems.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
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  1. Adept at navigating within the culture of the department.
  1. Understands the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
  1. Effective in communicating with others within the organization.
  1. Able to deal with sensitive issues with tact and professionalism.
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.