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






Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Makes sure cleanliness standards are met to reduce the possibility of contamination.
  1. Regularly measures product specifications to ensure uniformity and quality control.
  1. Adopts and implements best practices when it comes to quality procedures.
  1. Implements appropriate training to maintain high quality standards.
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
  1. Frequently arrives early to start the day.
  1. Focuses time on the important tasks that add significant value.
  1. Stays focused on the job.
  1. Bundles different tasks together if they can be done at the same time.
  1. Uses scripts or software tools to automate computer centered processes.
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
  1. Offers training to reduce safety incidents in the workplace.
  1. Determines the potential outcome of adverse risk events.
  1. Identifies and mitigates risks while making informed, strategic decisions.
  1. Effectively manages risk for the department.
  1. Performs a risk analysis as needed.
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
  1. Maintains strong relationships with others.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Accepts responsibility for mistakes.
  1. Fosters a high standard of ethics and integrity.
  1. Demonstrates honesty and truthfulness at all times.
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. Responds to requests for information in a timely manner.
  1. Conducts appointments at scheduled start time.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
  1. Starts meetings on time.
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
  1. Ensures team members receive rewards for positive performance accomplishments.
  1. Creates several measures of success for each goal.
  1. Creates clear standards that are understandable and fair.
  1. Conducts objectives and key results (OKR) assessments on a quarterly basis.
  1. Assigns additional responsibilities to facilitate internal employee promotions.
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
  1. Communicates the results of the project, at the conclusion, to all stakeholders.
  1. Regularly reviews project performance and goals.
  1. Defines the project scope, goals, and resources.
  1. Regularly measures and records progress of the project.
  1. Understands the budget constraints for 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
  1. Able to organize work.
  1. Works well in this position.
  1. ...Overall Performance
  1. Has great overall performance
  1. ...Produce Quality
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
  1. Identifies predictable hazards in the workplace.
  1. Creates accurate and effective measures of safety.
  1. Identifies and addresses safety needs.
  1. Mitigates hazards and safety issues that arise.
  1. Committed to safety in the workplace.
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
  1. Helpful
  1. Works across boundaries within the organization.
  1. Able to see issues from others' perspectives.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.
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.