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. Spends the most time and effort on critical tasks first.
  1. Completes multiple tasks simultaneously.
  1. Organizes tasks for the most efficient order of completion.
  1. Keeps track of multiple assignments and deadlines.
  1. Is aware of the deadlines for specific tasks/assignments.
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 historical records and documents as needed/required.
  1. Complies with trade agreements affecting international companies.
  1. Coordinates with legal counsel investigating any instances of misconduct.
  1. Responds promptly to inquiries from regulatory bodies.
  1. Develops and implements a compliance data recordkeeping system.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Engages in cross-functional activities by collaborating across boundaries.
  1. Creates the conditions for partnerships to grow and develop.
  1. Creates value within the Company by building networks.
  1. Utilizes partners' key strengths to create mutual advantages.
  1. Hosts forums, colloquiums, and seminars to share information and ideas.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
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  1. Understands impacts of domestic & global market events & issues.
  1. Identifies potential regulatory risks and strategies to mitigate them.
  1. Views problems from a business perspective, opportunity, investment, risks, and anticipated results
  1. Able to align resources to meet the business needs of the company.
  1. Applies the knowledge of work processes to influence the achievement of business goals
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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  1. Responds in a timely manner, respecting deadlines and others' schedules.
  1. Provides straightforward and brief directions.
  1. Adapts language and terminology to meet the needs of the audience.
  1. Communicates Corporate initiatives in a relevant and actionable manner to employees within his/her organization.
  1. Presents 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
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Always
Exhibits this
Competency
  1. Fixes problems when they occur.
  1. Is driven to complete a high amount of work.
  1. Is not afraid to take action when necessary.
  1. Conducts critical-incident review immediately after the event.
  1. Does not procrastinate when there is a job to be done.
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
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Competency
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Exhibits this
Competency
  1. Is able to express themselves clearly.
  1. Is able to control their own emotions.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to manage their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
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. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Makes you 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
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Competency
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Competency
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Competency
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Competency
  1. Uses appropriate technology to efficiently communicate with team members.
  1. Estimates the time needed for each phase of the project.
  1. Documents the risk assessments for different parts of the project.
  1. Identifies critical requirements for each phase of the project.
  1. Conducts a risk assessment for each phase of the project.
Please feel free to provide any comments to help explain your answers?

Delegation

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. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  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.
  1. Defines goals and objectives for subordinates.
  1. Tells subordinates what to do, not how to do it.
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
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Competency
  1. Acts with urgency when time is limited.
  1. Acts independently to solve pressing needs.
  1. Completes tasks without having to be told to do so.
  1. Acts on own initiative to improve the department outcomes.
  1. Takes the initiative to complete tasks ahead of schedule.
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
Exhibits this
Competency
Usually
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Competency
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  1. Identifies root causes of problems.
  1. Analyzes unique issues or problems impacting the Company.
  1. Strategically aligns projects to the goals of the company.
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal 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. Builds working relationships with others across cultures.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. Forms strong client relationships with international partners.
  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. Volunteers for experiences and assignments 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.