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Leadership - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Leadership:
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:
Leadership, Persuasion and Influence, Quality, Initiative, Trustworthy, Self Management, Conflict Management, Recognition, Others
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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Leadership

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. Provides accurate, timely, and (where appropriate) positive feedback.
  1. Guides decision-making by coaching, counseling and rewarding.
  1. Empowers others to succeed within their jobs.
  1. Able to increase the performance of under-performing employees.
  1. Recognizes individual and team accomplishments and reward them appropriately.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
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Competency
Seldom
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  1. Ensures stakeholders are involved in the decision making process.
  1. Has excellent influencing/negotiating skills.
  1. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.
  1. Attempts to persuade others rather than simply control them.
Please feel free to provide any comments to help explain your answers?

Quality

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  1. Implements quality control feedback loops to enhance services and products.
  1. Reflects on what is working and what could be improved.
  1. Creates effective policies regarding quality of services and products.
  1. Ensures the hiring of employees that have a quality focus.
  1. Competently and accurately analyzes quality measures.
Please feel free to provide any comments to help explain your answers?

Initiative

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  1. Inspires others to perform above expectations.
  1. Takes the initiative to change the direction or course of events.
  1. Independently seeks out new learning opportunities to improve their skills.
  1. Initiates the development of new products.
  1. Creates solutions to problems as soon as an incident occurs.
Please feel free to provide any comments to help explain your answers?

Trustworthy

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  1. Takes ownership, delivers on commitments
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Takes care to maintain confidential information.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Is trustworthy; is someone I can trust.
Please feel free to provide any comments to help explain your answers?

Self Management

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Competency
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  1. Analyzes interpersonal problems instead of reacting to them.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Steps away from a situation to process appropriate response.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Initates collaborative processes to reduce conflict.
  1. Settles disputes with agreement from both parties.
  1. Facilitates the resolution of grievances by fostering mutual understanding and appreciation of each party's needs.
  1. Tries to understand others' point of view before making judgments
  1. Attempts to accommodate vital interests of those who felt alienated or suffered injustice.
Please feel free to provide any comments to help explain your answers?

Recognition

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  1. Recognizes individuals for a specific outstanding achievement.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Compliments other people when they do good work
  1. Says "thank you" to show appreciation for work of others.
  1. Makes people around them feel appreciated and valued.
Please feel free to provide any comments to help explain your answers?

Others

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Competency
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  1. Includes others in the decision making processes.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Is able to see issues from others' perspectives.
  1. Works effectively with people from other departments.
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.