Initiative - 360 Degree Feedback Survey Sample #13





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)
Survey 14 (4-point scale; N/A)
Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Initiative

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Acts independently to solve pressing needs.
  1. Takes advantage of opportunities when they become available.
  1. Takes charge when there is a crisis.
  1. Builds strong interpersonal relationships upon first meeting.
  1. Acts with urgency when time is limited.
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Immediately works on solving problems.
  1. Immediately works to complete goals well before their deadline.
  1. Takes corrective action to address performance deficiencies/issues.


Achievement

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Works at a quick pace to complete a high volume of work.
  1. Takes calculated risks.
  1. Takes immediate action of projects that fall behind schedule.
  1. Takes calculated risks to achieve higher levels of performance.
  1. Completes work promptly and efficiently.


Bias for Action

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Displays high energy and enthusiasm on consistent basis.
  1. Motivates others to achieve or exceed goals
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Encourages risk taking and experimentation to improve performance
  1. Identifies ways to simplify work processes and reduce cycle times


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Is a trustworthy and credible partner.
  1. Seeks continuous improvement through the input from coworkers and staff.
  1. Works with others to resolve issues facing the company.
  1. Shares insights, innovations, and resources to enhance efficiency.
  1. Actively engages with team members to foster a cooperative environment.


Fiscal Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Monitors spending.
  1. Provides budgeting and accounting support to the Company.
  1. Effective in using Company's resources.
  1. Develops budgets and plans for various programs and initiatives.
  1. Keeps excellent records for financial transparency.


Passion To Learn

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Is open to feedback from others.
  1. Creates an environment that supports personal development and exploration.
  1. Is committed to enhancing their own knowledge and skills.
  1. Embraces new technology and procedures.
  1. Exhibits willingness to upgrade skills through additional training and education.


Attitude

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Visibly supports and encourages diversity in style and background.
  1. Treats all people fairly and with respect.
  1. Is gracious and professional in their interactions with others.
  1. Builds open and trusting relationships.


Performance

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Effectively organizes resources and plans
  1. Able to organize work.
  1. Works effectively in the department.
  1. Has great overall performance
  1. Sets a high standard for job performance.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  3. Overall, please rate the effectiveness of [Participant Name Here].







  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.