Results Oriented - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Results Oriented:
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; floating anchors)
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.







Results Oriented

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets important goals for the department.
  1. Sets objectives for the department.
  1. Works hard despite obstacles that impede progress.
  1. Determines the parts of the project that need completed first.
  1. Prioritizes tasks to best achieve the results.
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. Determines the Objectives and Key Results (OKRs) needed for the position.
  1. Ensures employees understand their performance expectations.
  1. Recognizes employees with a long and distinguished career of service.
  1. Informs team members how their performance compares to stated goals.
  1. Sets performance expectations that are clear, specific and concise.
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. Organizes work and sets priorities as needed.
  1. Interacts with stakeholders regarding the outcomes required by the project.
  1. Holds meetings with supply-chain vendors regarding acquisition of resources.
  1. Regularly measures and records progress of the project.
  1. Outlines the key objectives 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. Works well in this position.
  1. Able to organize work.
  1. Effectively organizes resources and plans
  1. Shown significant improvement in job performance.
  1. Has great overall performance
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Facilitates seamless communication across all management levels.
  1. Conducts impactful training sessions.
  1. Mentors others on enhancing their written communication.
  1. Clarifies problems logically, simplifying complex matters into digestible parts.
  1. Welcomes input and suggestions from others.
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. Fosters a high standard of ethics and integrity.
  1. Accepts responsibility for mistakes.
  1. Protects the integrity and confidentiality of information
  1. Does what was promised.
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. Maintains an efficient schedule of activities.
  1. Starts the workday when scheduled.
  1. Invoices clients on a timely basis.
  1. Responds to requests for information in a timely manner.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Defines goals and objectives for subordinates.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Allows subordinates to use their own methods and procedures.
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. Persists with crucial assignments.
  1. Outperforms others in productivity through effective time management.
  1. Integrates automation into the process whenever feasible.
  1. Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
  1. Uses time efficiently to achieve higher productivity.
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. Works effectively to mitigate risks.
  1. Integrates risk management processes, data, and analytics across the company.
  1. Conducts internal audit of risk assessments.
  1. Views risks as potential opportunities for profit.
  1. Is responsible for regulatory, strategic, operational and project risk management.
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. Keeps accurate safety records.
  1. Ensures compliance with safety regulations.
  1. Participates in safety training as applicable.
  1. Develops a culture of safety.
  1. Committed to safety in the workplace.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Makes customer's needs a top priority.
  1. Anticipates resources needed to meet the customer needs.
  1. Provides a responsive service that meets the needs of customers.
  1. Creates new and innovative products for customers.
  1. Is committed to resolving customer issues in a positive way.
Please feel free to provide any comments to help explain your answers?

Empowering Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Trusts employees with important responsibilities.
  1. Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
  1. Fosters a sense of ownership and accountability for the process/product.
  1. Gives employees autonomy to complete tasks on their own.
  1. Enables team members to make their own decisions on the project.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Views problems from a business perspective, opportunity, investment, risks, and anticipated results
  1. Facilitates others in the development and implementation of changes to business operations.
  1. Has an understanding of various asset classes and how to interpret balance sheets.
  1. Understands business fundamentals and practices.
  1. Rewards risky ideas that may yield significant benefits to the business.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops a strategic vision for the future.
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Understands how to strategically grow the business and increase customers.
  1. Adjusts strategic plans based on insights gathered from different points of view.
  1. Implements long-term solutions to problems.
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.