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)
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.




Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works across boundaries within the organization.
  1. Constructively receives criticism and suggestions from others.
  1. Is able to see issues from others' perspectives.
  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. Creates opportunities for employees to exercise their independence.
  1. Encourages employees to take the initiative when responding to an issue.
  1. Allows individuals to be responsible for their decisions.
  1. Willing to share in the decision making process.
  1. Allows the team to take responsibility for the project.
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. Supports the successes of other employees.
  1. Provides constructive feedback to others.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Assesses employees' developmental needs.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
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. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Conveys ideas confidently and succinctly.
  1. Is an effective communicator
  1. Communicates effectively with all levels of the organization.
  1. Checks for understanding throughout conversations or group presentations/discussions
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
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Completes work on time
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Motivates others to achieve or exceed goals
  1. Completes a large volume of work.
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. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
  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
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Eliminates bureaucratic barriers to streamline processes.
  1. Completes work to given time frame and to budget
  1. Takes calculated risks.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Demonstrates improvement in performance.
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. Makes sure client needs are understood by the team members.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Forms strong client relationships
  1. Fosters an environment that supports strong client focus.
  1. Exhibits a positive attitude even when dealing with difficult clients.
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.