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

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Able to organize work.
  1. Ability to establish realistic goals.
  1. Establishes goals and objectives.
  1. Works toward achieving established goals and objectives.
  1. Assures [Company] principles are understood, employed & pursued.
Please feel free to provide any comments to help explain your answers?

Adaptability

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Is open to change and adjusts plans when needed.
  1. Effective in working with different personnel of the team.
  1. Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
  1. Accommodates changes as needed.
  1. Is aware of changes to the policies and procedures.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand current job responsibilities.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  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.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
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Competency
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Competency
  1. Accurately captures time across various tasks.
  1. Gets more accomplished than others in the same amount of time.
  1. Starts projects without delay.
  1. Utilizes batch workflows to reduce time spent on certain tasks.
  1. Completes work on a timely basis.
Please feel free to provide any comments to help explain your answers?

Change 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. Develops a strategy for implementing changes.
  1. Able to get department employees to accept new changes.
  1. Is an inspiration for others to accept the recent changes.
  1. Facilitates change with minimal resistance.
  1. Supports the Company's efforts to implement 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. Supports technical training and development of employees.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
  1. Supports employee training and development initiatives regarding implementation of technology.
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
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Competency
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Competency
  1. Keeps commitments made with coworkers.
  1. Considers the other individual's point of view.
  1. Honest about owning up to mistakes made.
  1. Communicates initiatives in a clear and actionable manner to employees.
  1. Maintains open and regular communication with others.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. ...takes personal responsibility for results.
  1. Works in a way that makes others want to work with her/him.
  1. Holds herself / himself accountable to goals / objectives
  1. Behavior is ethical and honest.
  1. Responsible for setting the vision of the department.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
  1. Provides clear, motivating, and constructive feedback.
  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.