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)
Survey 13 (4-point scale; numbers)
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.

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. Holds employees accountable for their quality of work.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
  1. Promotes an environment that fosters quality and safety.
  1. Verifies the correct materials were used in the installation.
  1. Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
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. Prioritizes high value tasks at work.
  1. Avoids distractions in the workplace.
  1. Determines which tasks need to be completed urgently.
  1. Ensures timely completion of vital work.
  1. Records time spent on work and non-work related items.
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. Determines the amount of deviation from the plan that will be tolerated.
  1. Bases decisions on patterns found in fluid/changing information.
  1. Develops policies to address risk situations in the workplace.
  1. Minimizes operational setbacks and delays.
  1. Tracks risks in a project.
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. Follows tasks to completion.
  1. Maintains strong relationships with others.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Fosters an environment built upon trust.
  1. Fosters a high standard of ethics and integrity.
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. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
  1. Arrives to meetings on time.
  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. Uses timely and appropriate corrective/disciplinary actions.
  1. Initiates a performance improvement plan for underperforming subordinates.
  1. Ensures team members receive rewards for positive performance accomplishments.
  1. Clearly articulates the performance requirements for the position.
  1. Creates several measures of success for each goal.
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. Creates the communications that will be used throughout the project's implementation.
  1. Regularly reviews project performance and goals.
  1. Changes the implementation of specific phases of the project to mitigate certain risks.
  1. Assesses the ability of the organization to handle the project.
  1. Determines the project strategy for implementation.
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. Works well in this position.
  1. ...Produce Quality
  1. Shown significant improvement in job performance.
  1. Effective in performing his/her job.
  1. Sets a high standard for job 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
  1. Supports safety programs and procedures.
  1. Is not afraid to question a potential safety issue observed in the workplace.
  1. Identifies and addresses safety needs.
  1. Participates in safety training when offered.
  1. Develops a sustainable safety culture.
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. Forms working relationships with employees from other departments.
  1. Respects the opinions of other employees.
  1. Constructively receives criticism and suggestions from others.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Works effectively with people from other departments.
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.