Self-Management - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Self-Management:
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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Self Management, Passion To Learn, Establishing Focus/Direction, Analytical, Flexibility, Initiative, Results Oriented, Commitment To Result, Developing Others, Conflict Management, Business Acumen, Entrepreneurship
Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made between . The survey will only be available during these dates.


Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You do not allow own emotions to interfere with the performance of others.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You step away from a situation to process appropriate response.
What are your suggestions for how you can make improvements
in Self Management?

Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You inspire others to learn new things.
  1. You demonstrate through personal behavior the commitment to high standards of performance.
  1. You constantly enhance product knowledge through experimentation and play.
  1. You will participate in training classes even if offered outside of normal working hours.
  1. You take initiative for own learning and development.
What are your suggestions for how you can make improvements
in Passion To Learn?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are excellent at managing time.
  1. You make sure that employees understand how their work relates to organizational goals.
  1. You set appropriate goals for employees.
  1. You maintain focus when handling several problems or tasks simultaneously.
  1. You stay focused even when under pressure and stress.
What are your suggestions for how you can make improvements
in Establishing Focus/Direction?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You ask the "right" questions to size up or evaluate situations.
  1. You analyze issues and reduce them to their component parts.
  1. You identifiy opportunities for progress and innovation.
  1. You identify the root cause of a problem.
  1. You select the appropriate techniques for analysis.
What are your suggestions for how you can make improvements
in Analytical?

Flexibility

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I permit flexible working and flex-time to accommodate employee needs to meet external obligations.
  1. I am willing to change ideas or perceptions based on new information.
  1. I support a culture that values flexibility, continuous improvement and innovation.
  1. You respond to issues and problems with creative solutions and innovation.
  1. You are willing to change strategies, operations, or processes in to meet new challenges or seize new opportunities.
What are your suggestions for how you can make improvements
in Flexibility?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You take corrective action to address performance deficiencies/issues.
  1. I will continue to work on a problem even in the face of obstacles.
  1. I gladly seek additional responsibilities.
  1. You seize upon opportunities available.
  1. I encourage others on the team to suggest process improvements.
What are your suggestions for how you can make improvements
in Initiative?

Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create measures of performance to track progress.
  1. I am flexible and willing to change the strategy to better achieve the objectives.
  1. You complete work on time.
  1. You are highly motivated to complete tasks despite obstacles that may arise.
  1. I work hard despite obstacles that impede progress.
What are your suggestions for how you can make improvements
in Results Oriented?

Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
  1. You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
  1. You coordinate all department activities into a cohesive team effort.
  1. You are able to focus on a task even when working alone.
What are your suggestions for how you can make improvements
in Commitment To Result?

Developing Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You assess employees' developmental needs.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You create a work environment that fosters positive feedback to employees.
  1. You recognize and celebrates accomplishments of others.
What are your suggestions for how you can make improvements
in Developing Others?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I attempt to determine the root sources of grievances.
  1. You facilitate dialog between stakeholders.
  1. I work to meet the basic needs of each side in the conflict.
  1. You help others to see perceptions that they have about an issue.
  1. I initate collaborative processes to reduce conflict.
What are your suggestions for how you can make improvements
in Conflict Management?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I consider environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
  1. You can effectively interpret and analyze market data.
  1. You understand and apply business and financial principles.
  1. You understand complex issues and problems.
  1. You keep informed of current income and expenses.
What are your suggestions for how you can make improvements
in Business Acumen?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are able to adapt the department to changing business demands and climate.
  1. You take the initiative to complete tasks.
  1. You devote a certain amount of time and effort to developing new business opportunities.
  1. You can work effectively in an environment of uncertainty.
  1. You seek and utilize mentors to help guide your professional development.
What are your suggestions for how you can make improvements
in Entrepreneurship?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.