Results Oriented - 360 Degree Feedback Survey Sample #3





Results Oriented Questionnaires:
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:
Results Oriented, Managing Performance, Project Management, Performance, Communication Skills, Integrity, Punctuality, Delegation, Time Management, Managing Risk, Safety, Customer Focus, Empowering Others, Business Acumen, Strategic Insight
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. Flexible in adjusting priorities to meet the demands of changing situations.
  1. Inspires and motivates co-workers to be productive and energetic at work
  1. Achieves long and short-term goals.
  1. Determines the proper order for completion of the tasks.
  1. Plans the best course of action to achieve the goal.
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. Assigns tasks and responsibilities and holds employees accountable for actions.
  1. Holds the team accountable for meeting objectives.
  1. Sets clear and ambitious goals to be met.
  1. Is consistent in disciplinary/corrective actions.
  1. Recognizes employees with a long and distinguished career of service.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Ensures work is completed to the appropriate standards.
  1. Meets with stakeholders to determine the requirements for the project.
  1. Ensures resources are utilized at the appropriate levels for each phase of the project.
  1. Creates the metrics used to measure progress on the project.
  1. Coordinates timelines, events and tasks with various sub-groups within 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
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Competency
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Exhibits this
Competency
  1. Shown significant improvement in job performance.
  1. Has great overall performance
  1. Works well in this position.
  1. Effectively organizes resources and plans
  1. ...Produce Quality
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Articulates ideas clearly and assertively.
  1. Listens effectively and responds to new information.
  1. Provides straightforward and brief directions.
  1. Listens to others' points of view with an open mind
  1. Transforms complicated ideas into simple ones.
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
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Competency
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Exhibits this
Competency
  1. Develops trust and confidence from others.
  1. Demonstrates honesty and truthfulness at all times.
  1. Accepts responsibility for mistakes.
  1. Follows tasks to completion.
  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. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
  1. Responds to requests for information in a timely manner.
  1. Arrives to meetings on time.
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
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Competency
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Exhibits this
Competency
  1. Allows employees to decide how they wish to complete the tasks.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  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
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Competency
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Exhibits this
Competency
  1. Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
  1. Anticipates problems and resolves them before they negatively impact the schedule.
  1. Sustains high productivity levels throughout the day.
  1. Keeps accurate records of time spent on projects for proper billing.
  1. Takes the initiative to tackle critical issues earlier rather than later.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Creates dynamic and responsive enterprise risk management processes.
  1. Performs monthly risk management assessments.
  1. Uses actionable data and analytics to improve risk tolerance.
  1. Ensures that any risky decisions taken are based on informed decision making.
  1. Develops policies to address risk situations in the workplace.
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. Is aware of OSHA safety guidelines.
  1. Identifies and addresses safety needs.
  1. Commits adequate resources toward safety measures.
  1. Develops a strong safety culture.
  1. Points out behaviors in others that may be unsafe.
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
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Competency
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Competency
  1. Is competent in handling customer cases.
  1. Anticipates and proactively resolves issues that the customer may face.
  1. Follows up with any unanswered questions from the customer.
  1. Is committed to the customer's success.
  1. Fulfills commitments made to customers.
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. Provides opportunities for employee development and growth.
  1. Allows employees to make their own decisions.
  1. Gives responsibility for making important decisions to employees.
  1. Allows employees to organize their schedule to best accomplish the job.
  1. Considers ideas from employees that may challenge traditional ways of doing the job.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Establishes clear, long-term objectives that align with the company's vision and mission.
  1. Creates strategic plans that conform with regulations and industry guidelines.
  1. Has an understanding of various asset classes and how to interpret balance sheets.
  1. Can effectively interpret and analyze data.
  1. Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.
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
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Competency
Always
Exhibits this
Competency
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Analyzes unique issues or problems impacting the Company.
  1. Understands how to strategically grow the business and increase customers.
  1. Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. Pursues strategic alliances with valued partners.
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.