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Mediation- 360 Degree Feedback Survey Sample #3





Competencies Included:
Mediation, Flexibility, Employee Relations, Self Management, Critical Thinking, Analytical, Commitment To Result, Customer Focus, Coaching, Business Acumen
Surveys Measuring Mediation:
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.

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.



Edit this Survey
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Mediation

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
  1. Identifies gaps in understanding and seeks additional input to complete the picture.
  1. Aims to reduce conflict, preserve relationships, and reach voluntary agreements.
  1. Creates a checklist (or agenda) for the meeting to ensure all topics are discussed.
  1. Structures the negotiation process to promote clarity, fairness, and progress toward resolution.
  1. Facilitates reaching agreement between the two parties.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
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  1. Is flexible in processing routine requests.
  1. Encourages a culture of experimentation and innovation.
  1. Maintains an adaptive mindset crucial for navigating the dynamic challenges and opportunities that arise in business environments.
  1. Responds effectively to changes in the market conditions.
  1. Allows for flexibility in setting realistic performance goals.
Please feel free to provide any comments to help explain your answers?

Employee Relations

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  1. Allows employees to work independently when necessary.
  1. Disciplines Employees as necessary.
  1. Provides guidance and support while allowing employees the freedom to execute tasks independently.
  1. Enables the union and management to form a partnership within the organization.
  1. Treats staff fairly and with thoughtfulness.
Please feel free to provide any comments to help explain your answers?

Self Management

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  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Consciously controls own negative emotions in order to keep team morale up.
  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?

Critical Thinking

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  1. Categorizes and selects data to arrive at a judgement.
  1. Carefully considers and examines the issues of concern.
  1. Invites diverse viewpoints to test assumptions and expand understanding.
  1. Applies rigorous scrutiny to expert claims.
  1. Creates space for dialogue that challenges assumptions and broadens perspectives.
Please feel free to provide any comments to help explain your answers?

Analytical

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  1. Checks that the information is both precise and up-to-date.
  1. Decomposes problems into smaller, manageable parts.
  1. Weighs the risks and costs of certain decisions.
  1. Measures and assesses the potential loss in value of a portfolio under normal market conditions.
  1. Makes graphs and charts to explain data clearly.
Please feel free to provide any comments to help explain your answers?

Commitment To Result

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  1. Encourages commitment in others to obtain results.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Coordinates all department activities into a cohesive team effort.
  1. Committed to the team.
  1. Takes immediate action toward goals.
Please feel free to provide any comments to help explain your answers?

Customer Focus

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  1. Develops strong customer relationships.
  1. Uses feedback from customers to help improve services.
  1. Is committed to the success of the customer.
  1. Ensures customers' expectations are met or exceeded.
  1. Ensures communication with customers is honest and transparent.
Please feel free to provide any comments to help explain your answers?

Coaching

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  1. Considers the ideas and suggestions from coaches.
  1. Helps others to understand the responsibilities and expectations of working for _____.
  1. Asks questions that lead to discovery, insight or action.
  1. Knows the capabilities and motivations of the individuals in the work group.
  1. Offers coaching at the appropriate times.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. Gathers essential customer data to align our products with their expectations.
  1. Implements long-term strategic solutions to critical problems.
  1. Rewards risky ideas that may yield significant benefits to the business.
  1. Gathers important information from customers to make sure our products are relevant and useful.
  1. Shares information on best practices to facilitate business workflows and operations during times of transition and changes in personnel.
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.