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)

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

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 a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Juggling Multiple Responsibilities	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Assesses current capabilities before committing to new requests from customers.
Can multi-task while performing all of their other responsibilities and activities.
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
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Understands the applicable regulations and laws that impact our business.
Addresses issues quickly before they develop into major problems.
Understands and adheres to internal and external regulations.
Follows all safety regulations and procedures.
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
Supports a partnering/networking culture.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Seeks an understanding of diverse functions within the Company.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
Creates the conditions for partnerships to grow and develop.
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 Exhibits this Competency	Always Exhibits this Competency
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Able to align resources to meet the business needs of the company.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Considers impact of actions on other areas of the organization.
Asks the 'right' questions to size up or evaluate situations.
Please feel free to provide any comments to help explain your answers?

Communication Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Is an effective communicator
Communicates effectively with all levels of the organization.
Checks for understanding throughout conversations or group presentations/discussions
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 Competency	Always Exhibits this Competency
Makes effective decisions, even when under pressure.
Gets the job done.
Works quickly when faced with difficult problems.
Effectively makes decisions
Is not afraid to take corrective action when necessary.
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 Exhibits this Competency	Always Exhibits this Competency
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
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
Sets an example for others to follow
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Delegate tasks effectively
Takes responsibility for things that go wrong
Please feel free to provide any comments to help explain your answers?

Project Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Regularly reviews project performance and goals.
Maintains costs and expenses within budget limits.
Develops action items, workplans, timelines, and criteria for projects.
Works with customers and clients to assess their needs and define project parameters.
Defines project outcomes based on customer requirements.
Please feel free to provide any comments to help explain your answers?

Delegation	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Tells subordinates what to do, not how to do it.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Sets clear and reasonable expectations for others and follows through on their progress.
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 Exhibits this Competency	Always Exhibits this Competency
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes action without being asked.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
Please feel free to provide any comments to help explain your answers?

Strategic Insight	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Implements long-term solutions to problems.
Communicates vision for the department and company.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Please feel free to provide any comments to help explain your answers?

Global Perspective	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Analyzes global issues/problems that are having a large impact on the Company.
Forms strong client relationships with international partners.
Understands how cultures differ and how these differences impact work behavior.
Accepts setbacks and challenges in foreign markets as improvement opportunities
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.
Please feel free to provide any comments to help explain your answers?