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 are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You step away from a situation to process appropriate response.
  1. You use patience and self-control in working with customers and associates.
  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
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 are committed to enhancing your own knowledge and skills.
  1. You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
  1. You stay up-to-date on emerging technologies.
  1. You will participate in training classes even if offered outside of normal working hours.
  1. You hold self and associates accountable for goal achievement.
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 set appropriate goals for employees.
  1. You help guide employees with prioritizing tasks.
  1. You make sure that employees understand and identify with the team's mission.
  1. You align the department's goals with the goals of the organization.
  1. You are excellent at managing time.
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 select the appropriate techniques for analysis.
  1. You ask the "right" questions to size up or evaluate situations.
  1. You identifiy opportunities for progress and innovation.
  1. You analyze data and information from several sources and arrives at logical conclusions.
  1. You use appropriate techniques to solve problems.
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. You adapt to new organizational structures, policies, or procedures.
  1. You are willing to try new ideas.
  1. You are able to adapt to new situations.
  1. You identify new opportunities to achieve goals
  1. You are open to the perspectives/viewpoints of others.
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. I do things without being told.
  1. You take on extra projects after required work is completed.
  1. You engage with new customers immediately.
  1. You go above and beyond the stated goals.
  1. You initiate new projects for the department.
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 give extra effort to solve problems and get work done on time.
  1. You set the objectives for the team.
  1. You provide clear expectations for employees.
  1. You respond to changing events to maintain progress toward achieving results.
  1. Completed work exceeds standards.
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 committed to the team.
  1. You encourage commitment in others to obtain results.
  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 maintain persistence and dedication to achieving results.
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 encourage employees through recognition of positive changes in behavior.
  1. You assess employees' developmental needs.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You are open to receiving feedback.
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. You assist team members by helping them see the other point of view.
  1. You discuss conflict situations with supervisor.
  1. You clearly express expectations to others.
  1. You deal effectively with employee grievances.
  1. You help employees to think through alternative ways to resolve conflict situations.
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. You exhibit behavior that is consistent with the vision, mission, and core values of the organization
  1. You understand the dynamics of our industry.
  1. You are able to align resources to meet the business needs of the company.
  1. You identify new business opportunities.
  1. You interpret data to make informed business decisions.
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 have a strategic awareness on how to promote the organization.
  1. You take the initiative to complete tasks.
  1. You are comfortable operating in an environment of uncertainty.
  1. You devote a certain amount of time and effort to developing new business opportunities.
  1. You balance risks and rewards when making decisions.
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.