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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)
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:
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.



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Objectives

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Competency
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Competency
  1. Communicates goals and objectives to employees.
  1. Sets long-term and short-term goals.
  1. Encourages me to take on greater responsibility.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Establishes goals and objectives.
Please feel free to provide any comments to help explain your answers?

Adaptability

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Competency
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Competency
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  1. Works effectively with various personalities of team members.
  1. Handles changes easily.
  1. Is open to changes in policies and procedures.
  1. Is open to change and adjusts plans when needed.
  1. Adjusts plans and procedures.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
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  1. Looks for ways to improve work processes and procedures.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Analyzes processes to determine areas for improvement.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Open to the suggestions from others.
Please feel free to provide any comments to help explain your answers?

Time Management

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  1. Adheres to project timelines.
  1. Manages work time and family life to bring both into balance.
  1. Sustains high productivity levels throughout the day.
  1. Acts promptly without delay.
  1. Prioritizes major tasks over smaller ones.
Please feel free to provide any comments to help explain your answers?

Change Management

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  1. Facilitates change with minimal resistance.
  1. Is an inspiration for others to accept the recent changes.
  1. Assists others in understanding changes to the organization.
  1. Is a leading force driving changes.
  1. Effective in implementing new organizational vision and values.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
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Competency
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Competency
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  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Supports technical training and development of employees.
  1. Maximizes the use of new technology to deliver products and services.
  1. Understands and is committed to implementing new technologies.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. Adapts management style to meet the needs of the individual or situation.
  1. Able to work with individuals at all levels of the Company.
  1. Anticipates the concerns of other employees.
  1. Communicates initiatives in a clear and actionable manner to employees.
  1. Is well respected in the department.
Please feel free to provide any comments to help explain your answers?

Responsible

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Competency
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  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example
  1. Sets a good example.
  1. Sets high personal standards of performance.
  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
  1. Addresses employee behavior problems effectively.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to maintain high personal standards.
  1. Develops the skills and capabilities of others.
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.