hr-survey.com

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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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.





Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You go above and beyond the stated goals.
  1. You prepare for unexpected contingencies.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You seek and utilize opportunities for continuous learning and self-development.
  1. You take decisive action to address problems, following up with relevant team members and coaching them on how to improve.
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
  1. You give clear and convincing presentations.
  1. You present issues, ideas, and strategy concisely and clearly.
  1. You communicate effectively with all levels of the organization.
  1. You deliver influential presentations.
  1. You ask follow-up questions as needed.
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
  1. You make effective decisions
  1. You display high energy and enthusiasm on consistent basis.
  1. You are not afraid to take corrective action when necessary.
  1. You drive and mobilizes others progress toward goals.
  1. You make effective decisions, even when under pressure.
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. You step away from a situation to process appropriate response.
  1. You use patience and self-control in working with customers and associates.
  1. You do not allow own emotions to interfere with the performance of others.
  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
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
  1. You set an example for others to follow
  1. You keep staff informed about what is happening in the company
  1. You are ready to offer help
  1. You make others feel enthusiastic about your work
  1. You delegate tasks effectively
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
  1. You respond quickly and appropriately to unforeseen problems.
  1. You maintain costs and expenses within budget limits.
  1. You develop performance measures for various aspects of the project.
  1. You inspire others to accomplish goals and objectives.
  1. You are able to adjust project schedule as needed to accommodate unforeseen issues.
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
  1. You define the roles, responsibilities, required actions, and deadlines for team members.
  1. You set clear and reasonable expectations for others and follows through on your progress.
  1. You tell subordinates what to do, not how to do it.
  1. You encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You delegate authority and responsibility to subordinates and holds them accountable for your actions.
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
  1. You forge mutually beneficial relationships between individuals with diverse backgrounds.
  1. You create value within the Company by building networks.
  1. You build alliances between departments and teams.
  1. You support and encourage relationships that are created by diverse team members.
  1. You capitalize on partnerships and networks to enhance the Company's bottom line.
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. You effectively develop and use resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. You apply the knowledge of work processes to influence the achievement of business goals
  1. You understand complex issues and problems.
  1. You are able to align resources to meet the business needs of the company.
  1. You consider impact of actions on other areas 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. You identify root causes of problems.
  1. You formulate policies and strategies for addressing the Company's important challenges.
  1. You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. You analyze unique issues or problems impacting the Company.
  1. You formulate strategies and action plans to ensure successful completion of goals and objectives.
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
  1. You have positive interactions with individuals from different cultures and backgrounds.
  1. You exemplify the skills of a global worker.
  1. You attend training seminars and conferences to increase skills in working with others globally.
  1. You communicate effectively on a multi-lingual basis.
  1. You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
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.