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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)
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.

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.



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Performance

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Able to organize work.
  1. Effective in performing his/her job.
  1. Works effectively in the department.
  1. Has great overall performance
  1. ...Produce Quality
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Inspires others to achieve high quality standards.
  1. Investigates critical incidents that impact quality.
  1. Addresses barriers to successfully implementing quality standards.
  1. Systematically and thoroughly inspects products for consistency in meeting specifications.
  1. Effectively coordinates with other departments to improve quality.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
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Competency
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Competency
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  1. Willingly shares information and expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Knows how to produce high quality products/work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
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Competency
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Competency
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Competency
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  1. Adopts the implementation of new technology into the workplace.
  1. Supports technical training and development of employees.
  1. Understands and is committed to implementing new technologies.
  1. Uses technology in decision making and problem solving.
  1. Supports employee training and development initiatives regarding implementation of technology.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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Competency
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Competency
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  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
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Competency
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Competency
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Competency
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Competency
  1. Responds to requests for information in a timely manner.
  1. Starts meetings on time.
  1. Arrives to meetings on time.
  1. Starts the workday when scheduled.
  1. Maintains an efficient schedule of activities.
Please feel free to provide any comments to help explain your answers?

Attitude

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Competency
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Competency
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Competency
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Competency
  1. Seeks feedback from others, including junior staff.
  1. Greets ambiguity with curiosity and purpose, rather than hesitation or avoidance.
  1. Makes space for others to share perspectives on change, incorporating feedback into real-time decisions.
  1. Remains positive even when working with individuals who have poor attitudes.
  1. Encourages experimentation and learning from trial and error, rather than fearing imperfection.
Please feel free to provide any comments to help explain your answers?

Client Focus

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Competency
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Competency
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Competency
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Competency
  1. Understands what resources are needed to meet client needs.
  1. Creates high quality products for the clients.
  1. Is competent in handling client cases.
  1. Thoroughly understands the needs of the client.
  1. Anticipates problems that the client may encounter.
Please feel free to provide any comments to help explain your answers?

Customer Focus

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Competency
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Competency
  1. Helps raise the tone or energy of the team through positive customer interactions.
  1. Adapts to changing customer needs.
  1. Persistent in solving customer issues.
  1. Uses feedback from customers to help improve services.
  1. Coaches team members to continuously improve their customer interactions.
Please feel free to provide any comments to help explain your answers?

Teamwork

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Competency
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Competency
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Competency
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Competency
  1. Makes sure each team member participates in the task.
  1. Creates opportunities to learn with other team members
  1. Shares resources and information with the team.
  1. Facilitates team discussions and problem-solving
  1. Willingly share their technical expertise
Please feel free to provide any comments to help explain your answers?

Company

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Competency
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Competency
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Competency
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Competency
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Competency
  1. Actively engages with community leaders to identify opportunities for meaningful collaboration.
  1. Monitors resource utilization to ensure cost-effectiveness without compromising quality.
  1. Provides access to training, documentation, and expert support to help employees use resources effectively
  1. Attends [Company] gatherings and social events.
  1. Keeps the parking area well maintained.
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.