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)

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

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.

Leadership	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Takes ownership and accountability for results
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Acts decisively in implementing decisions.
Gives direct, constructive, and actionable feedback.
Highly effective supervisor.
Please feel free to provide any comments to help explain your answers?

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

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages others to achieve high quality standards.
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
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
Immediately works to complete goals well before their deadline.
Seeks and utilizes opportunities for continuous learning and self-development.
Goes above and beyond the stated goals.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Please feel free to provide any comments to help explain your answers?

Trustworthy	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is a person you can trust.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
Please feel free to provide any comments to help explain your answers?

Self Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Steps away from a situation to process appropriate response.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Does not allow own emotions to interfere with the performance of others.
Please feel free to provide any comments to help explain your answers?

Conflict Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Clearly expresses expectations to others.
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Please feel free to provide any comments to help explain your answers?

Recognition	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Recognizes team members who offer a significant contribution to a project.
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes the abilities and skills of self and others
Offers recognition in a timely manner.
Finds opportunities to recognize others.
Please feel free to provide any comments to help explain your answers?

Others	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works across boundaries within the organization.
Is able to see issues from others' perspectives.
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Able to see issues from others' perspectives.
Please feel free to provide any comments to help explain your answers?