Self-Management - 360 Degree Feedback Survey Sample #13





Questionnaires Measuring Self:
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; Floating Anchors)
Instructions

We are delighted to extend an invitation to you to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our leadership development program. This feedback tool has been meticulously designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Passion To Learn

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Enjoys learning new skills and techniques.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Takes initiative for own learning and development.
  1. Inspires others to learn new things.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Creates an environment that supports personal development and exploration.


Managing Performance

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Creates clear standards that are understandable and fair.
  1. Monitors progress to ensure performance goals are being met.
  1. Assesses employee performance against defined standards.
  1. Ensures the employee understands the key tasks, goals and KPIs required for the position.
  1. Determines the operational standards needed for performance of the job.


Performance

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Has great overall performance
  1. ...Overall Performance
  1. Listens and responds to issues and problems
  1. Works effectively in the department.
  1. Shown significant improvement in job performance.


Innovation

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Encourages managers to "think outside the box".
  1. Challenges existing work processes/products to enhance value.
  1. Promotes collaboration across different departments to combine varied perspectives and expertise, which can spark innovative ideas.
  1. Looks for opportunities to apply new and evolving technologies.
  1. Is open to innovative ideas.


Technology Use/Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Proficient in the use of technical systems and processes.
  1. Supports technical training and development of employees.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Effectively uses technology to facilitate collaborative efforts in building process and policy documents.
  1. Is comfortable working with employees from different departments/divisions.
  1. Collaborates with others to resolve conflicts constructively.
  1. Is a dependable partner in the group.
  1. Uses effective strategies to re-engage team members and secure their commitment to the business's common good.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  3. Overall, please rate the effectiveness of [Participant Name Here].







  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.