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.

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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  1. Makes sure that team members have a clear idea of our group's goals.
  1. Achieves goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Achieves established goals.
Please feel free to provide any comments to help explain your answers?

Managing Risk

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  1. Tracks risks in a project.
  1. Prioritizes risks based on probability of occurrence and possible impact to the company.
  1. Performs a risk analysis as needed.
  1. Designs risk management activities that support the success of the company.
  1. Outlines the risk management framework including responsibilities, description of the process, and guidance on evaluating risk criteria and appropriate risk responses.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

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  1. Maintains compliance with federal, state, and local laws.
  1. Develops and implements a compliance data recordkeeping system.
  1. Provides documents and reports as needed to maintain compliance with laws.
  1. Formulates compliance policies and procedures.
  1. Interacts with auditors and regulators on a professional basis.
Please feel free to provide any comments to help explain your answers?

Customer Focus

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  1. Is consistent in services provided to customers.
  1. Makes sure team members understand the issues faced by the customer.
  1. Creates high quality products for the customers.
  1. Is aware of what the customer wants to receive.
  1. Actively listens to concerns from customers.
Please feel free to provide any comments to help explain your answers?

Self Management

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  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. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Steps away from a situation to process appropriate response.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

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  1. Gives employees the ability to complete their tasks as they see fit.
  1. Communicates the goals and expectations for the team.
  1. Oversees the work of a group of employees.
  1. Is a calming force during stressful periods.
  1. Provides clear expectations of outcomes during performance reviews.
Please feel free to provide any comments to help explain your answers?

Performance

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  1. Sets a high standard for job performance.
  1. Has great overall performance
  1. Effectively organizes resources and plans
  1. Shown significant improvement in job performance.
  1. Effective in performing his/her job.
Please feel free to provide any comments to help explain your answers?

Problem Solving

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  1. Implements effective solutions to critical problems.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Solves problems using logic and insight.
  1. Is a good problem solver and decision maker
  1. Makes judgments based upon relevant information.
Please feel free to provide any comments to help explain your answers?

Innovation

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  1. Offers constructive improvements to existing systems.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Builds upon the ideas and solutions of others.
  1. Solves problems with insight and understanding.
  1. Encourages open communication to ensure that all proposals are considered.
Please feel free to provide any comments to help explain your answers?

Empowering Others

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  1. Assigns important tasks to subordinates.
  1. Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
  1. Allows employees to make their own decisions.
  1. Listens to the ideas employees have for solving issues.
  1. Allows for flexibility in the working hours.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. Aware of regulations that impact our business.
  1. Gathers important information from customers to make sure our products are relevant and useful.
  1. Keeps informed of current income and expenses.
  1. Seeks to better understand other areas of the company, including their operations, personnel, and output.
  1. Identifies new business opportunities.
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. Attends industry conferences to gain further insight into how other companies deal with similar issues.
  1. Implements long-term solutions to problems.
  1. Creates strategies that significantly benefit the Company.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

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  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.
  1. Adept at navigating within the culture of the department.
  1. Able to explain departmental policies and procedures to others.
  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.