Performance - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Performance:
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.

Competencies Included:
Performance, Quality, Technical, Technology Use/Management, Continual Improvement, Punctuality, Attitude, Client Focus, Customer Focus, Teamwork, Company
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.




Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Has great overall performance
  1. Effectively organizes resources and plans
  1. Listens and responds to issues and problems
  1. ...Overall Performance
  1. Sets a high standard for job performance.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages others to produce the highest quality work products.
  1. Reflects on what is working and what could be improved.
  1. Encourages employees to produce the best quality products.
  1. Always strives to produce the highest quality work products.
  1. Encourages others to achieve high quality standards.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Seeks information from others as needed.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
  1. Proficient in the use of technical systems and processes.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Analyzes processes to determine areas for improvement.
  1. Open to the suggestions from others.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Starts the workday when scheduled.
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Treats all people fairly and with respect.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Contributes to a positive and fun work environment.
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. Builds products that meet the unique needs of each client.
  1. Helps clients feel they are receiving services tailored specifically to their needs.
  1. Addresses client complaints immediately.
  1. Anticipates client needs.
  1. Anticipates resources needed to meet the client needs.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Actively listens to concerns from customers.
  1. Consistently meets customer's needs.
  1. Focuses on maintaining good relationships with customers.
  1. Makes sure team members understand the issues faced by the customer.
  1. Prioritizes customer issues to tackle the most pressing needs first.
Please feel free to provide any comments to help explain your answers?

Teamwork

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. Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
  1. Gives constructive advice to other team members.
  1. Recognizes and respects the contributions and needs of each individual.
  1. Helps the team balance analysis with decisiveness in making decisions.
  1. Coaches team members
Please feel free to provide any comments to help explain your answers?

Company

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Understands the use of [Company] products and services.
  1. Attends [Company] gatherings and social events.
  1. Impresses upon others the important aspects of [Company].
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
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.