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 act on own initiative to improve the department outcomes.
  1. I immediately work on solving problems.
  1. I take corrective action to rectify issues.
  1. I begin immediate action on projects.
  1. You prepare for unexpected contingencies.
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 communicate effectively with colleagues and customers
  1. You deal with difficult situations calmly and confidently.
  1. You have the confidence to communicate effectively to all levels (from ceo down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. You listen to others' points of view with an open mind
  1. You present issues, ideas, and strategy concisely and clearly.
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 drive and mobilizes others progress toward goals.
  1. You do whatever it takes (within reason) to get the job done.
  1. You get the job done.
  1. You display high energy and enthusiasm on consistent basis.
  1. You motivate & supports others to gain skills
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 analyze interpersonal problems instead of reacting to them.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You do 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
  1. You delegate tasks effectively
  1. You keep staff informed about what is happening in the company
  1. You set an example for others to follow
  1. You are ready to offer help
  1. You make others feel enthusiastic about your work
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 regularly review project performance and goals.
  1. You develop action items, workplans, timelines, and criteria for projects.
  1. You respond quickly and appropriately to unforeseen problems.
  1. You define project outcomes based on customer requirements.
  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 delegate authority and responsibility to subordinates and holds them accountable for your actions.
  1. You encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You clearly define duties and tasks to be completed.
  1. You allow employees to decide how they wish to complete the tasks.
  1. You entrust subordinates with important tasks.
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 seek to reduce institutional roadblocks to information sharing.
  1. You partner with peers to obtain influence within the Company.
  1. You build alliances between departments and teams.
  1. You create the conditions for partnerships to grow and develop.
  1. You support and encourage relationships that are created by diverse team members.
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 create strategic plans that conform with regulations and industry guidelines.
  1. You can effectively interpret and analyze data.
  1. You can effectively interpret and analyze market data.
  1. I calculate return on investment (ROI) for various business projects.
  1. I understand our competitors and their strengths and weaknesses.
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 analyze unique issues or problems impacting the Company.
  1. You identify root causes of problems.
  1. You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. You formulate policies and strategies for addressing the Company's important challenges.
  1. You analyze records and reports to obtain insight into potential issues and trends.
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 can effectively deliver presentations to international clients.
  1. You apply knowledge of overseas markets.
  1. You consider customers point of view when making decisions.
  1. You understand global systems such as the global economy.
  1. You accept setbacks and challenges in foreign markets as improvement opportunities
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.