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Others- 360 Degree Feedback Survey Sample #3





Competencies Included:
Others, Empowering Others, Developing Others, Communication Skills, Bias for Action, Management, Achievement, Client Focus
Surveys Measuring Others:
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.

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.



Edit this Survey
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Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Constructively receives criticism and suggestions from others.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Works across boundaries within the organization.
  1. Respects the opinions of other employees.
  1. Helpful
Please feel free to provide any comments to help explain your answers?

Empowering Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
  1. Distributes the workload to subordinates.
  1. Values the input from others.
  1. Gives employees autonomy to complete tasks on their own.
  1. Coordinates the knowledge, skills and resources of others to accomplish more in the department.
Please feel free to provide any comments to help explain your answers?

Developing Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Provides constructive feedback to others.
  1. Recognizes and celebrates accomplishments of others.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Creates opportunities for professional development.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Uses software, graphics, or other aids to clarify complex or technical reports.
  1. Able to communicate ideas effectively and succinctly to both individuals and groups, in any setting.
  1. Communicates goals of project, resources required, resources available, etc. to the team
  1. Sets their on-line status to "available" to indicate they are available for communication.
  1. Communicates clearly and get to the point without unnecessary details.
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Competency
  1. Completes work on time
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Encourages risk taking and experimentation to improve performance
  1. Completes a large volume of work.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Makes you feel enthusiastic about your work
  1. Delegate tasks effectively
  1. Is ready to offer help
Please feel free to provide any comments to help explain your answers?

Achievement

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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Exhibits this
Competency
  1. Holds others to high standards of achievement.
  1. Takes reasonable risks to achieve desired results.
  1. Helps others to improve or meet standards of performance.
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Increased production by 20 percent.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is committed to the success of the client.
  1. Creates high quality products for the clients.
  1. Responsive to client needs.
  1. Is available to respond to client needs.
  1. Is pro-active in dealing with clients and addressing their needs.
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.