Responsibility - 360 Degree Feedback Survey Sample #3

Questionnaires Measuring Responsibility:
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:
Responsible, Continual Learning, Continual Improvement, Quality, Juggling Multiple Responsibilities, Results Oriented, Interpersonal Skills, Coaching, Conflict Management, Global Perspective

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.

Responsible	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Acts as a resource without removing individual responsibility.
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
Is a person you can trust.
Please feel free to provide any comments to help explain your answers?

Continual Learning	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
Please feel free to provide any comments to help explain your answers?

Continual Improvement	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Promotes training and development opportunities to enhance job performance.
Please feel free to provide any comments to help explain your answers?

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Bounces back from daily crisis, disappointments and frustrations.
Can multi-task while performing all of their other responsibilities and activities.
Plans and organizes continuously while performing all other responsibilities and activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Please feel free to provide any comments to help explain your answers?

Results Oriented	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Does not become distracted by non-issues or interruptions.
Stays focused on meeting the needs of customers.
Inspires and motivates co-workers to be productive and energetic at work
Directs team in prioritizing daily work activities
Works toward achievement of goals even when confronted with obstacles.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Anticipates the concerns of other employees.
Comes across as credible, knowledgeable and sincere
Is open and approachable
Applies appropriate communication techniques to the situation.
Is a role model for others
Please feel free to provide any comments to help explain your answers?

Coaching	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Please feel free to provide any comments to help explain your answers?

Conflict Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Clearly expresses expectations to others.
Discusses conflict situations with supervisor.
Please feel free to provide any comments to help explain your answers?

Global Perspective	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Can effectively deliver presentations to international clients.
Sets the example for team on importance of cultural awareness.
Understands how cultures differ and how these differences impact work behavior.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Demonstrates working knowledge of global transactions.
Please feel free to provide any comments to help explain your answers?