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)

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

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.

Objectives	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
Sets long-term and short-term goals.
Organizes and schedules events, activities, and resources.
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 Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works effectively in dynamic and changing work environments.
Is flexible and open minded in dealing with others.
Recognizes and implements changes to enhance efficiency and effectiveness.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Please feel free to provide any comments to help explain your answers?

Continual Improvement	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Please feel free to provide any comments to help explain your answers?

Time Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Does not become flustered by deadlines and timelines.
Completes tasks ahead of schedule.
Leaves time in the schedule for unplanned contingencies.
Uses agendas when chairing or facilitating meetings.
Makes time for developing plans and schedules.
Please feel free to provide any comments to help explain your answers?

Change Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.
Adopts changes to set and example for others to follow.
Supports new initiatives for organizational changes to improve effectiveness.
Effective in dealing with ambiguous and challenging situations.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Maximizes the use of new technology to deliver products and services.
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is a role model for others
Effectively manages conflicts by dealing with them directly and immediately
Adapts management style to meet the needs of the individual or situation.
Uses tact, compassion, and sensitivity in interactions with others.
Comes across as credible, knowledgeable and sincere
Please feel free to provide any comments to help explain your answers?

Responsible	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Sets a good example
Works in a way that makes others want to work with her/him.
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Sets high personal standards of performance.
Please feel free to provide any comments to help explain your answers?

Coaching	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Helps employees to understand responsibilities, authority, and expectations.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Develops the skills and capabilities of others.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Please feel free to provide any comments to help explain your answers?