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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. Includes others in the decision making processes.
  1. Works across boundaries within the organization.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.
  1. Able to see issues from others' perspectives.
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. Allows employees to take training to increase their skill levels so that they can be more independent.
  1. Encourages employees to make informed decisions based on their own judgment and reasoning.
  1. Gives employees input into the decision making process.
  1. Trusts employees with important responsibilities.
  1. Recognizes the importance of a healthy work/life balance.
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
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Exhibits this
Competency
  1. Recognizes and celebrates accomplishments of others.
  1. Creates opportunities for professional development.
  1. Is open to receiving feedback.
  1. Assesses employees' developmental needs.
  1. Sets performance objectives for subordinates that encourages development opportunities.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delivers effective public presentations.
  1. Delivers well-prepared, informed, poised and succinct presentations.
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Can effectively deliver presentations.
  1. Able to deliver presentations.
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. Works well with others to achieve common goals and leveraging diverse skills and perspectives.
  1. Completes work on time
  1. Makes decisions swiftly and confidently.
  1. Seizes opportunities to engage in action on a project.
  1. Is someone who wants to do more 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. Establishes expected performance standards.
  1. Uses discipline as a tool for growth, focusing on feedback and learning rather than punishment.
  1. Monitors the effectiveness of resource allocation decisions and makes adjustments as needed.
  1. Creates growth opportunities for employees.
  1. Creates clear performance standards that are understandable and fair.
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
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Competency
Always
Exhibits this
Competency
  1. Works at a quick pace to complete a high volume of work.
  1. Demonstrates tenacity in completing tasks regardless of shifting circumstances.
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Increased revenue for the company.
  1. Helps others to improve or meet standards of 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. Prioritizes the needs and preferences of the client.
  1. Creates an environment that enables clients to receive excellent service.
  1. Understands what resources are needed to meet client needs.
  1. Transparent in all communications with the client.
  1. Persistent in solving client issues.
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.