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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

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



Edit this Survey
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Initiative

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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  1. I take on additional tasks without being asked or told to do so.
  1. I look to start work on new projects without waiting for direction from the manager.
  1. You immediately inform the HR Department of any personnel complaints or issues.
  1. You are a self-starter. You do not wait to be told to do something.
  1. You prepare for unexpected contingencies.
Please feel free to provide any comments to help explain your answers?

Communication Skills

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  1. You address issues of key importance to stakeholders.
  1. You inform others about changes or developments in plans and goals.
  1. You deliver information in a clear, concise, and logical manner.
  1. You listen attentively and without interrupting team members and customers
  1. You prepare and deliver presentations.
Please feel free to provide any comments to help explain your answers?

Action

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  1. You get the job done.
  1. I avoid "Analysis Paralysis" through action.
  1. I am proactive in addressing the needs of the department.
  1. I take action in critical situations.
  1. You assign tasks to individuals who are most able to perform them.
Please feel free to provide any comments to help explain your answers?

Self Management

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  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You do not allow own emotions to interfere with the performance of others.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  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

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  1. You are ready to offer help
  1. You take responsibility for things that go wrong
  1. You delegate tasks effectively
  1. You make others feel enthusiastic about your work
  1. You keep staff informed about what is happening in the company
Please feel free to provide any comments to help explain your answers?

Project Management

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  1. I locate the equipment and supplies needed for the project.
  1. You use appropriate software tools to assist in managing the project.
  1. You develop action items, workplans, timelines, and criteria for projects.
  1. You maintain costs and expenses within budget limits.
  1. I add the necessary time buffers to avoid the project getting behind schedule.
Please feel free to provide any comments to help explain your answers?

Delegation

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  1. You define the roles, responsibilities, required actions, and deadlines for team members.
  1. You allow subordinates to use their own methods and procedures.
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You define goals and objectives for subordinates.
  1. You clearly define duties and tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

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Competency
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  1. You create value within the Company by building networks.
  1. You form collaborative relationships with others.
  1. You facilitate the formation of collaborative relationships with suppliers and vendors.
  1. I form strategic alliances with firms that specialize in areas that are complementary or help the company.
  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

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  1. You share information among teams and departments.
  1. You share information on best practices to facilitate business workflows and operations during times of transition and changes in personnel.
  1. I identify potential regulatory risks and strategies to mitigate them.
  1. You understand impacts of domestic & global market events & issues.
  1. You use risk management to make more effective business decisions.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

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  1. You ommunicate with employees to find out their needs.
  1. You implement long-term solutions to problems.
  1. You create strategies that significantly benefit the Company.
  1. I develop a strategic vision for the future.
  1. You anticipate business cycles and trends and make adjustments in a timely manner.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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Competency
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  1. You attend training seminars and conferences to increase skills in working with others globally.
  1. You form strong client relationships with international partners.
  1. You accept setbacks and challenges in foreign markets as improvement opportunities
  1. You cooperate with others on a global scale.
  1. You demonstrate a curiosity about diverse individuals and cultures.
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.