Quality - 360 Degree Feedback Survey Sample #3

Questionnaires Measuring Quality:
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)

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:
Quality, Time Management, Managing Risk, Integrity, Punctuality, Managing Performance, Project Management, Performance, Safety, Others

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 a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Holds employees accountable for their quality of work.
Please feel free to provide any comments to help explain your answers?

Time Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Leaves time in the schedule for unplanned contingencies.
Uses agendas when chairing or facilitating meetings.
Deals effectively with interruptions.
Sets a good balance between work and family life.
Makes time for developing plans and schedules.
Please feel free to provide any comments to help explain your answers?

Managing Risk	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Effectively responds to critical situations to reduce potential for losses.
Able to adapt quickly to changing situations.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Responds appropriately to unexplained or unanticipated events.
Rewards innovative experiments to try new ideas.
Please feel free to provide any comments to help explain your answers?

Integrity	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Maintains strong relationships with others.
Demonstrates sincerity in actions with others.
Does what was promised.
Establishes relationships of trust, honesty, fairness, and integrity.
Accepts responsibility for mistakes.
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
Maintains an efficient schedule of activities.
Invoices clients on a timely basis.
Starts meetings on time.
Conducts appointments at scheduled start time.
Responds to requests for information in a timely manner.
Please feel free to provide any comments to help explain your answers?

Managing Performance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Measures performance against goals and objectives.
Addresses grievances sooner rather than later.
Examines the most effective ways for accomplishing goals.
Uses timely and appropriate corrective/disciplinary actions.
Sets specific and measurable goals for others and follows through to completion.
Please feel free to provide any comments to help explain your answers?

Project Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to adjust project schedule as needed to accommodate unforeseen issues.
Organizes work and sets priorities as needed.
Develops action items, workplans, timelines, and criteria for projects.
Defines project outcomes based on customer requirements.
Develops performance measures for various aspects of the project.
Please feel free to provide any comments to help explain your answers?

Performance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works well in this position.
Effectively organizes resources and plans
...Overall Performance
Able to organize work.
Has great overall performance
Please feel free to provide any comments to help explain your answers?

Safety	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Participates in safety training when available.
Ensures compliance with safety regulations.
Commits adequate resources toward safety measures.
Develops safety guidelines for the department.
Participates in safety training when offered.
Please feel free to provide any comments to help explain your answers?

Others	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to see issues from others' perspectives.
Works across boundaries within the organization.
Supports the efforts of other employees in implementing solutions to problems.
Respects the opinions of other employees.
...treats others with respect and dignity.
Please feel free to provide any comments to help explain your answers?