Objectives - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Objectives:
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)
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:
Objectives, Adaptability, Continual Improvement, Time Management, Change Management, Technology Use/Management, Interpersonal Skills, Responsible, Coaching
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.






Objectives

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Competency
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  1. Organizes and schedules events, activities, and resources.
  1. Effectively organizes resources and plans
  1. Assures [Company] principles are understood, employed & pursued.
  1. Communicates goals and objectives to employees.
  1. Consistently provides me with timely feedback for improving my performance.
Please feel free to provide any comments to help explain your answers?

Adaptability

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Embraces change and fosters an open-minded environment.
  1. Able to adapt to changes in technology and processes.
  1. Able to work effectively with new people and new teams.
  1. Able to step in and help co-workers when needed.
  1. Adjusts plans to meet new situations.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
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Competency
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Competency
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Competency
  1. Looks for ways to expand and learn new job skills.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Open to the suggestions from others.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Promotes training and development opportunities to enhance job performance.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Addresses the most pressing needs at the beginning of the shift.
  1. Rarely misses deadlines; often producing results before expected.
  1. Adheres to project timelines.
  1. Able to keep to the project schedule.
  1. Starts meetings on time.
Please feel free to provide any comments to help explain your answers?

Change Management

Does Not
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Competency
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Competency
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Competency
  1. Facilitates change with minimal resistance.
  1. Develops plans for following through on the changes.
  1. Addresses organizational and departmental resistance to changes.
  1. Adopts changes to set and example for others to follow.
  1. Is a leading force driving changes.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Proficient in the use of technical systems and processes.
  1. Uses technology in decision making and problem solving.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Maximizes the use of new technology to deliver products and services.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
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Competency
Seldom
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Competency
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Competency
  1. Adapts management style to meet the needs of the individual or situation.
  1. Is willing to lend a hand to those in the department who need help.
  1. Anticipates the concerns of other employees.
  1. Embraces the differences in individuals that comprise the team.
  1. Takes time to recognize the efforts of others.
Please feel free to provide any comments to help explain your answers?

Responsible

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Competency
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Competency
  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example
  1. ...takes personal responsibility for results.
  1. Sets a good example.
  1. Acts as a resource without removing individual responsibility.
Please feel free to provide any comments to help explain your answers?

Coaching

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Competency
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Competency
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Competency
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Competency
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Competency
  1. Addresses employee behavior problems effectively.
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to maintain high personal standards.
  1. Develops the skills and capabilities of others.
  1. Conducts regular performance appraisals and feedback.
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.