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Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #7





360 Feedback Survey

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

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

Sample Result Document:
Sample Results
In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .
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Juggling Multiple Responsibilities

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Keeps track of multiple assignments and deadlines.
  1. Switches attention to more urgent tasks when necessary.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Technical

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Seeks information from others as needed.
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?

Objectives

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Effectively organizes resources and plans
  1. Works toward achieving established goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Able to organize work.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?

Empowering Others

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Avoids micromanaging their employees.
  1. Distributes the workload to subordinates.
  1. Gives employees input into the decision making process.
  1. Encourages employees to take on greater responsibilities.
  1. Encourages employees to expand their skills in order to take on greater responsibilities.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Strategic Focus

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Understands how to grow the business and increase customers.
  1. Develops strategies to seek new opportunities.
  1. Creates strategic objectives to increase revenue and profit margins.
  1. Identifies areas where return on investment can be improved.
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

Entrepreneurship

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Takes the initiative to complete tasks.
  1. Understands the processes and various stages of business development.
  1. Can work effectively in an environment of uncertainty.
  1. Encourages risk taking for developing potential business opportunities.
  1. Has a strategic awareness on how to promote the organization.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Monitors expenses and verifies the need for items purchased.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Provides budgeting and accounting support to the Company.
  1. Monitors spending.
  1. Develops budgets and plans for various programs and initiatives.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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