Self-Management - 360 Degree Feedback Survey Sample #14





360 Feedback Survey

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; N/A)
Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

Sample Result Document:
Sample Results
You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Passion To Learn

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Takes initiative for own learning and development.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Is open minded and curious about learning new skills.
  1. Holds self and associates accountable for goal achievement.
  1. Embraces new technology and procedures.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Is open to feedback from others.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Enjoys learning new skills and techniques.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

Accountability

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Aware of the consequences for failure to complete the project.
  1. Accepts personal responsibility for not meeting expectations.
  1. Encourages employees to take on greater responsibilities.
  1. Accepts the consequences for their actions.
  1. Takes full responsibility for project outcomes.
  1. Does not make excuses for being late for work.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?

Time Management

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Stays on track by effectively using the project schedule.
  1. Excellent at keeping track of time.
  1. Prepares to-do lists for the project tasks.
  1. Ensures timely completion of vital work.
  1. Is productive for the majority of time spent during the day.
  1. Gets more accomplished than others in the same amount of time.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Supports technical training and development of employees.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Adopts the implementation of new technology into the workplace.
  1. Understands and is committed to implementing new technologies.
  1. Maximizes the use of new technology to deliver products and services.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Collaboration

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Uses group decision making.
  1. Encourages teammates to settle their differences and work together.
  1. Encourages diversity of opinions and ideas.
  1. Includes all stakeholders in the decision making process.
  1. Values the diverse perspectives and skills each team member brings to the table, recognizing that collaborative efforts often lead to more innovative and effective solutions.
  1. Guides team members to reconcile their differences and collaborate effectively.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?

Others

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Constructively receives criticism and suggestions from others.
  1. Helpful
  1. Consistently demonstrates ability and willingness to trust others.
  1. Works across boundaries within the organization.
  1. Is able to see issues from others' perspectives.
  1. Treats others with respect and dignity.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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