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 interpersonal problems instead of reacting to them.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You use patience and self-control in working with customers and associates.
  1. You step away from a situation to process appropriate response.
  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
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 demonstrate through personal behavior the commitment to high standards of performance.
  1. You hold self and associates accountable for goal achievement.
  1. You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
  1. You take initiative for own learning and development.
  1. You demonstrate a willingness to participate in continuing education courses.
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 align the department's goals with the goals of the organization.
  1. You maintain focus when handling several problems or tasks simultaneously.
  1. You are excellent at managing time.
  1. You make sure that employees understand and identify with the team's mission.
  1. You function well under stress, deadlines, and/or significant workloads.
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 identify the root cause of a problem.
  1. You ask the "right" questions to size up or evaluate situations.
  1. You identifiy opportunities for progress and innovation.
  1. You balance risks and costs with the reward and probabilities of success when decisions.
  1. You analyze data and information from several sources and arrives at logical conclusions.
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 are able to adapt processes in response to critical incidents that impact the workflow.
  1. You can seamlessly transition between various environments and situations.
  1. I am able to integrate the latest tools and methods without causing disruption.
  1. I respond positively to unanticipated changes in the work schedule.
  1. I adapt training delivery to enhance effectiveness and create an inclusive environment, boosting team cohesion and productivity.
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 initiate the development of new products.
  1. When working on a problem in a team, I often am the first to suggest possible solutions.
  1. You quickly come to the aid of those who may need help.
  1. You take corrective action to address performance deficiencies/issues.
  1. I act with urgency when time is of the essence.
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 determine the parts of the project that need completed first.
  1. You are determined to complete tasks regardless of obstacles that may occur.
  1. You do not become distracted by non-issues or interruptions.
  1. I promptly and efficiently complete assigned tasks.
  1. I am always willing to help coworkers to keep productions levels high.
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 take immediate action toward goals.
  1. You are able to focus on a task even when working alone.
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
  1. You are committed to the team.
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
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 assign tasks and responsibilities to develop skills of others.
  1. You create a work environment that fosters positive feedback to employees.
  1. You support the successes of other employees.
  1. You create opportunities for professional development.
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 view conflicts as opportunities to create constructive and novel solutions to problems.
  1. I identify who holds the authority to make decisions.
  1. You are able to settle disputes equitably.
  1. You determine what issues can be agreed upon.
  1. You try to understand others' point of view before making judgments
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 understand consumer behaviors and how they may change in the future.
  1. I conduct thorough market research to understand industry trends, customer needs, and competitive landscapes.
  1. You exhibit behavior that is consistent with the vision, mission, and core values of the organization
  1. You understand impacts of domestic & global market events & issues.
  1. You are up-to-date with regulatory guidelines and policies.
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 find unique ways to go around barriers to success.
  1. You have a strategic awareness on how to promote the organization.
  1. You are able to adapt the department to changing business demands and climate.
  1. You encourage dynamic growth opportunities.
  1. You devote a certain amount of time and effort to developing new business opportunities.
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.