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. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Prioritizes tasks for efficiency.
  1. Keeps track of multiple assignments and deadlines.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
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Competency
Always
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Competency
  1. Addresses issues quickly before they develop into major problems.
  1. Submits complete applications for necessary certifications.
  1. Effectively manages a department of compliance officers.
  1. Implements internal control processes to detect misconduct or patterns of illegal transactions.
  1. Responds promptly to inquiries from regulatory bodies.
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
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Competency
Always
Exhibits this
Competency
  1. Able to highlight both the strategic benefits and potential pitfalls in collaboration.
  1. Regularly attends conferences and seminars to meet with others in the industry.
  1. Sustains existing partnerships guided by contracts and agreements.
  1. Collaborates with other companies to inject capital in exchange for equity, fostering growth and expansion for the partner organization.
  1. Leverages core competencies of partners to the benefit of both parties.
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
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Competency
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Competency
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Exhibits this
Competency
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Establishes key performance indicators (KPIs) to measure progress and success.
  1. Understands and applies business and financial principles.
  1. Creates strategic plans that conform with regulations and industry guidelines.
  1. Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Exhibits this
Competency
  1. Delivers effective public presentations.
  1. Communicates clearly and get to the point without unnecessary details.
  1. Provides the reasoning behind choices and actions.
  1. Asks follow-up questions as needed.
  1. Delivers clear and concise instructions.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Starts immediately working on assignments.
  1. Effectively handles multiple complex issues simultaneously.
  1. Creates opportunities and then takes advantage of them.
  1. Takes the initiative and does not wait for the situation to change.
  1. Conducts critical-incident review immediately after the event.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

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. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Accurately perceives the emotional reactions of others.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to manage their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
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
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Exhibits this
Competency
  1. Takes responsibility for things that go wrong
  1. Is ready to offer help
  1. Delegate tasks effectively
  1. Sets an example for others to follow
  1. Makes you feel enthusiastic about your work
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Determines the correct order for the phases of the project.
  1. Ensures the project is executed on time and on budget.
  1. Estimates the duration for each phase of the project.
  1. Procures the resources necessary to complete the project.
  1. Establishes the scope for 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
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Exhibits this
Competency
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Clearly defines duties and tasks to be completed.
  1. Defines goals and objectives for subordinates.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
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. Analyzes the needs of the situation and acts before being told to do so.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Takes corrective action to rectify issues.
  1. Takes corrective action to address performance deficiencies/issues.
  1. Is proactive and gets things done.
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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Competency
  1. Analyzes unique issues or problems impacting the Company.
  1. Identifies root causes of problems.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Creates strategies that significantly benefit the Company.
  1. Inspires employees to adopt the strategic plan.
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. Communicates effectively on a multi-lingual basis.
  1. Aligns personal vision with global strategies.
  1. Creates an environment where individual differences are valued and supported.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
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.