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)
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.

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

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Understands & contributes to development of strategic goals.
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Achieves goals.
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. Identifies and mitigates risks while making informed, strategic decisions.
  1. Prioritizes risks to act on critical issues first.
  1. Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
  1. Attends risk management seminars and conferences.
  1. Uses risk data to generate insights and drive strategic decisions.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Effectively communicates the importance of meeting compliance standards.
  1. Develops regulatory compliance strategies.
  1. Knows who to contact at various regulatory agencies if needed.
  1. Provides documents and reports as needed to maintain compliance with laws.
  1. Documents the performance of compliance audits.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Attends to the customer's needs in addition to the specific needs of the project.
  1. Develops good rapport and trust with the customer.
  1. Adapts to changing customer needs.
  1. Uses feedback from customers to help improve services.
  1. Consistently models positive customer service attitudes.
Please feel free to provide any comments to help explain your answers?

Self Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Uses patience and self-control in working with customers and associates.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Fosters a culture of personal responsibility and accountability.
  1. Measures job performance fairly using established criteria.
  1. Informs employees of what tasks need to be completed on each shift.
  1. Schedules follow up meetings if employee's performance is below average.
  1. Decides what supplies need to be purchased.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. ...Overall Performance
  1. Sets a high standard for job performance.
  1. Works well in this position.
  1. Shown significant improvement in job performance.
  1. Works effectively in the department.
Please feel free to provide any comments to help explain your answers?

Problem Solving

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Makes judgments based upon relevant information.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Ability to develop innovative solutions to problems.
  1. Actively seeks the root cause of a problem.
Please feel free to provide any comments to help explain your answers?

Innovation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Takes risks that often yield rewards.
  1. Fosters a culture of creativity and curiosity by actively listening to and considering new ideas and opportunities.
  1. Determines how much risk the company is willing to take in implementing innovations to the products and services.
  1. Simplifies processes and reduce bureaucratic hurdles that might stifle creativity and innovation.
  1. Creates innovative products or services.
Please feel free to provide any comments to help explain your answers?

Empowering Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Gives employees autonomy to complete tasks on their own.
  1. Expresses confidence in the abilities of others.
  1. Gives employees the freedom to set their own schedule.
  1. Allows employees to take training to increase their skill levels so that they can be more independent.
  1. Listens to the ideas employees have for solving issues.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Collects valuable customer insights to ensure our services meet their needs.
  1. Rewards risky ideas that may yield significant benefits to the business.
  1. Recognizes trends in underlying data.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains knowledge of current trends in the industry.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Strategically aligns projects to the goals of the company.
  1. Recognizes the needs of customers.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Anticipates problems that may affect the department.
  1. Effective in communicating with others within the organization.
  1. Adept at navigating within the culture of the department.
  1. Understands departmental policies and procedures.
  1. Able to use corporate politics to advance department objectives.
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.