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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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  1. Works toward achieving established goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  1. Sets long-term and short-term goals.
  1. Establishes goals and objectives.
  1. Consistently provides me with timely feedback for improving my performance.
Please feel free to provide any comments to help explain your answers?

Adaptability

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  1. Recognizes and implements changes to enhance efficiency and effectiveness.
  1. Easily accepts new responsibilities.
  1. Adapts to new work processes and procedures.
  1. Adjusts tactics and strategies.
  1. Adapts to diversity within the team.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Fosters a culture of open communication and continuous improvement.
Please feel free to provide any comments to help explain your answers?

Time Management

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  1. Utilizes project planning tools and shared calendars to keep tasks transparent and coordinated.
  1. Understands the importance of being on time.
  1. Efficiently completes tasks.
  1. Sets a good balance between work and family life.
  1. Achieves more through effective time management.
Please feel free to provide any comments to help explain your answers?

Change Management

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  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Understands the consequences that may result from significant changes.
  1. Uses positive reinforcement to encourage change.
  1. Adopts changes to set and example for others to follow.
  1. Helps employees come to accept changes.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

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  1. Uses technology in decision making and problem solving.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Proficient in the use of technical systems and processes.
  1. Maximizes the use of new technology to deliver products and services.
  1. Adopts the implementation of new technology into the workplace.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. Successfully resolves conflicts and grievances to a win-win solution.
  1. Appreciates the extra efforts made by coworkers.
  1. Respects other members of the team/department.
  1. Recognizes when others do a good job.
  1. Creates an atmosphere that supports the open expression of ideas
Please feel free to provide any comments to help explain your answers?

Responsible

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  1. Responsible for setting the vision of the department.
  1. ...takes personal responsibility for results.
  1. Is a person you can trust.
  1. Completes assigned work tasks.
  1. Sets high personal standards of performance.
Please feel free to provide any comments to help explain your answers?

Coaching

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Competency
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  1. Helps employees to recognize their strengths.
  1. Gives constructive feedback without becoming confrontational.
  1. Frequently looks for opportunities to coach employees.
  1. Gives the employee time and space to respond to questions asked.
  1. Provides guidance and feedback to help accomplish a task or solve a problem.
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.