Initiative - 360 Degree Feedback Survey Sample #3

Questionnaires Measuring Initiative:
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)

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:
Initiative, Communication Skills, Action, Self Management, Management, Project Management, Delegation, Partnering/Networking, Business Acumen, Strategic Insight, Global Perspective

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 a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Initiative	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Immediately works to complete goals well before their deadline.
Takes the initiative to change the direction or course of events.
Takes action without being asked.
Seeks and utilizes opportunities for continuous learning and self-development.
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
Deals with difficult situations calmly and confidently.
Able to demonstrate persuasiveness in pursuit of objectives.
Communications with department leadership
Checks for understanding throughout conversations or group presentations/discussions
Able to deliver presentations.
Please feel free to provide any comments to help explain your answers?

Action	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works quickly when faced with difficult problems.
Makes effective decisions, even when under pressure.
Motivates & supports others to gain skills
Gets the job done.
Does whatever it takes (within reason) to get the job done.
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
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
Please feel free to provide any comments to help explain your answers?

Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Sets an example for others to follow
Delegate tasks effectively
Is ready to offer help
Please feel free to provide any comments to help explain your answers?

Project Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Develops performance measures for various aspects of the project.
Regularly reviews project performance and goals.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Maintains costs and expenses within budget limits.
Responds quickly and appropriately to unforeseen problems.
Please feel free to provide any comments to help explain your answers?

Delegation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Sets clear and reasonable expectations for others and follows through on their progress.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Tells subordinates what to do, not how to do it.
Allows subordinates to use their own methods and procedures.
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
Creates value within the Company by building networks.
Collaborates with others to accomplish goals and objectives.
Supports a partnering/networking culture.
Partners with peers to obtain influence within the Company.
Builds alliances between departments and teams.
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
Applies the knowledge of work processes to influence the achievement of business goals
Considers impact of actions on other areas of the organization.
Asks the 'right' questions to size up or evaluate situations.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Understands complex issues and problems.
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
Anticipates business cycles and trends and makes adjustments in a timely manner.
Analyzes unique issues or problems impacting the Company.
Maintains knowledge of current trends in the industry.
Identifies potential problems before they become critical incidents.
Identifies root causes of problems.
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
Considers customers point of view when making decisions.
Understands how cultures differ and how these differences impact work behavior.
Aligns personal vision with global strategies.
Sets the example for team on importance of cultural awareness.
Forms strong client relationships with international partners.
Please feel free to provide any comments to help explain your answers?