Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #3





Surveys measuring the ability to handle multiple responsibilities:
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)
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:
Juggling Multiple Responsibilities, Regulatory/Compliance, Partnering/Networking, Business Acumen, Communication Skills, Action, Emotional Intelligence, Management, Project Management, Delegation, Initiative, 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.




Juggling Multiple Responsibilities

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Determines which tasks are critical and which tasks are optional.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Begins tasks as soon as possible.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains compliance with federal, state, and local laws.
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.
  1. Complies with trade agreements affecting international companies.
  1. Performs regular compliance audits.
  1. Offers training to employees to ensure they are complying with regulations.
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. Maintains infrastructure to support partnerships and networks.
  1. Develops a sense of trust in subordinates so they can freely interact and share information with others.
  1. Creates value within the Company by building networks.
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Supports and encourages 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
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Competency
Always
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Competency
  1. Able to align resources to meet the business needs of the company.
  1. Considers impact of actions on other areas of the organization.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
  1. Calculates return on investment (ROI) for various business projects.
  1. Is up-to-date with regulatory guidelines and policies.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Conveys ideas confidently and succinctly.
  1. Deals with difficult situations calmly and confidently.
  1. Gives clear and convincing presentations.
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. An effective listener who is responsive to information needs.
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
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Competency
Always
Exhibits this
Competency
  1. Addresses safety issues immediately.
  1. Persists in work despite obstacles encountered.
  1. Is ambitious when working on the project.
  1. Undertakes actions to achieve specific goals.
  1. Creates opportunities and then takes advantage of them.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Exhibits this
Competency
  1. Is able to express themselves clearly.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to manage their own emotions.
  1. Able to understand others' points of view.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
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. Keep staff informed about what is happening in the company
  1. Takes responsibility for things that go wrong
  1. Is ready to offer help
  1. Makes you feel enthusiastic about your work
  1. Delegate tasks effectively
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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  1. Initiates large projects.
  1. Interacts with stakeholders regarding the outcomes required by the project.
  1. Fosters an environment that promotes collaboration among team members.
  1. Determines the project scope.
  1. Keeps accurate records regarding the costs of various aspects of the project.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
Always
Exhibits this
Competency
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
Always
Exhibits this
Competency
  1. Addresses small problems before they become big ones.
  1. Seizes upon chances to improve the department's prospects.
  1. Acts quickly when an opportunity becomes available.
  1. Takes corrective action to rectify issues.
  1. Acts quickly when a small problem arises to keep it from becoming a major issue.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Develops a plan and strategy for each functional area within the mission statement.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Implements long-term solutions to problems.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Understands global systems such as the global economy.
  1. Attends training seminars and conferences to increase skills in working with others globally.
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.