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Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #3





Surveys Measuring Juggling 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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.



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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. Can multitask while performing all of their other responsibilities and activities.
  1. Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Keeps track of multiple assignments and deadlines.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
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Competency
Seldom
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Competency
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  1. Keeps track of changes in legislation affecting regulatory compliance.
  1. Implements internal control processes to detect misconduct or patterns of illegal transactions.
  1. Establishes clear communication channels and lines of communication for compliance related issues.
  1. Maintains a compliance data recordkeeping system.
  1. Uses compliance reports to evaluate the effectiveness of compliance initiatives identifying areas of risk.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

Does Not
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Competency
Seldom
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  1. Nurtures partnerships with key individuals in the industry to stay on top of the latest trends and best practices.
  1. Develops effective peer to peer working relationships.
  1. Understands the potential implications of the partnership.
  1. Reinforces the contacts with other organizations.
  1. Defines a partnering strategy for identifying and selecting a partner.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Considers impact of actions on other areas of the organization.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Rewards risky ideas that may yield significant benefits to the business.
  1. Understands how strategic decisions impact constituents within the Company.
  1. Responds quickly to customer business inquiries.
Please feel free to provide any comments to help explain your answers?

Communication Skills

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  1. Confidently communicates across all organizational levels, including external stakeholders.
  1. Takes on challenging questions and provides instant answers.
  1. Visible and approachable; is there when you need them.
  1. Gives clear and convincing presentations.
  1. Addresses issues of key importance to stakeholders.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
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Competency
Seldom
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Competency
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  1. Takes corrective action when necessary.
  1. Starts immediately working on assignments.
  1. Takes preemptive actions avoid obstacles or delays.
  1. Takes action to respond to dissatisfied customer.
  1. Takes the initiative to address problems sooner rather than later.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
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  1. Is able to manage their own emotions.
  1. Is able to express themselves clearly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  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
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
Please feel free to provide any comments to help explain your answers?

Project Management

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  1. Coordinates timelines, events and tasks with various sub-groups within the project.
  1. Establishes the sequence of steps needed to complete the project.
  1. Defines the project scope, goals, and resources.
  1. Communicates with all employees involved on the project.
  1. Creates a schedule for the different phases of the project.
Please feel free to provide any comments to help explain your answers?

Delegation

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Competency
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Competency
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Tells subordinates what to do, not how to do it.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
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Competency
Seldom
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Competency
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  1. Is an inspiration for others to perform above expectations.
  1. Volunteers time and effort toward the completion of important goals.
  1. Will continue to work on a problem even in the face of obstacles.
  1. Immediately informs the HR Department of any personnel complaints or issues.
  1. Takes corrective action to address performance deficiencies/issues.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
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Competency
Seldom
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  1. Works with others to develop insights into the resources and actions required to produce desired results.
  1. Creates a mission statement describing the purpose for the organization.
  1. Creates a vision for the organization based on insights gathered from other companies in the industry.
  1. Communicates with employees to find out their needs.
  1. Recognizes the needs of customers.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Builds working relationships with others across cultures.
  1. Respects individual differences.
  1. Sets the example for team on importance of cultural awareness.
  1. Is able to work with individuals having different backgrounds and cultures.
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.