Planning- 360 Degree Feedback Survey Sample #3





Competencies Included:
Planning, Recognition, Professional Development, Punctuality, Management, Supervisory Skills, Persuasion and Influence, Decision Making, Quality, Time Management, Juggling Multiple Responsibilities, Excellence
Surveys Measuring Planning:
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.

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.






Planning

Does Not
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Seldom
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Competency
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  1. Anticipates obstacles and ways to overcome them.
  1. Develops strategic plans for ensuring competitiveness in the marketplace.
  1. Delegates role to team members to accomplish goals.
  1. Determines what supplies/equipment will be needed for the department.
  1. Sets the appropriate sequence of tasks to ensure completion of the project.
Please feel free to provide any comments to help explain your answers?

Recognition

Does Not
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  1. Makes people around them feel appreciated and valued.
  1. Lets employees know when they have done well
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Is sincerely interested in the suggestions of co-workers
Please feel free to provide any comments to help explain your answers?

Professional Development

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  1. Seeks opportunities for professional development.
  1. Encourages employees to take courses relevant to their job.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Seeks opportunities for continuous learning.
  1. Keep themselves up-to-date of technical/professional issues
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
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  1. Invoices clients on a timely basis.
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Starts the workday when scheduled.
  1. Responds to requests for information in a timely manner.
Please feel free to provide any comments to help explain your answers?

Management

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  1. Takes responsibility for things that go wrong
  1. Sets an example for others to follow
  1. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
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  1. Fosters an environment that supports open communication.
  1. Seeks to enhance the performance of employees under their supervision.
  1. Resolves personnel problems quickly and effectively.
  1. Provides timely and thorough performance evaluations of employees.
  1. Demonstrates exemplary work performance that others should follow.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

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  1. Seeks to obtain consensus or compromise.
  1. Persuades others to consider alternative points of view.
  1. Attempts to persuade others rather than simply control them.
  1. Has excellent influencing/negotiating skills.
  1. Able to express own goals and needs.
Please feel free to provide any comments to help explain your answers?

Decision Making

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  1. Determines constraints that may impact what decisions are acceptable.
  1. Weighs the pros and cons of decisions.
  1. Has a good rapport other people which is helpful in making decisions on the team.
  1. Formulates imaginative decisions.
  1. Willing to change their strategy if new information arises.
Please feel free to provide any comments to help explain your answers?

Quality

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  1. Establishes timeframes for achieving suitable quality levels.
  1. Is innovative and creative in response to issues involving quality of the products.
  1. Communicates quality standards that are easily by employees.
  1. Develops processes to enhance quality standards.
  1. Implements standardized and data driven quality processes/procedures.
Please feel free to provide any comments to help explain your answers?

Time Management

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  1. Is concerned about adhering to the schedule.
  1. Allows for time buffers between tasks so that the schedule does not become delayed.
  1. Completes tasks ahead of schedule.
  1. Delegates tasks to free up time to focus on more important issues.
  1. Eliminates tasks that are unimportant for the job.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities

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  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Assigns tasks based on skills of team members.
Please feel free to provide any comments to help explain your answers?

Excellence

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  1. Demonstrates the analytical skills to do their job.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Takes a lot of pride in their work.
  1. Produces high quality work.
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.