Self-Management - 360 Degree Feedback Survey Sample #3





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)
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:
Self Management, Professional Development, Emotional Intelligence, Project Management, Innovation, Technical, Clarity, Accountability, Coaching, Fiscal Management, Vision
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.






Self Management

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 personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Uses patience and self-control in working with customers and associates.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Steps away from a situation to process appropriate response.
Please feel free to provide any comments to help explain your answers?

Professional Development

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Seeks opportunities for professional development.
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for continuous learning.
  1. Allows employees to fully participate in employee training and professional development.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

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. Is able to express themselves clearly.
  1. Is able to manage their own emotions.
  1. Able to understand others' points of view.
  1. Is able to control their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
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
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Exhibits this
Competency
  1. Monitors finances to ensure optimal use of project funds.
  1. Identifies risks to each phase of the project.
  1. Coordinates timelines, events and tasks with various sub-groups within the project.
  1. Inspires the project implementation team to achieve success.
  1. Documents the sequence of steps needed to complete the project.
Please feel free to provide any comments to help explain your answers?

Innovation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Searches for opportunities and innovative ways to improve the organization.
  1. Develops new products and services.
  1. Builds upon the ideas and solutions of others.
  1. Creates a safe environment for idea-sharing.
  1. Challenges current procedures to develop other alternatives.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Knows how to produce high quality products/work.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Please feel free to provide any comments to help explain your answers?

Clarity

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Clearly explains responsibilities to individuals.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Adjusts communication methods to the needs of the audience.
  1. Writes clear job descriptions for positions in the organization.
  1. Makes sure employees understand why they were given certain assignments.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Holds employees responsible if expectations are not met.
  1. Ensures that employees are compensated fairly and in accordance with established policies.
  1. Demonstrates a commitment to taking responsibility for actions.
  1. Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
  1. Handles sensitive information with discretion and confidentiality.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Exhibits this
Competency
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
Please feel free to provide any comments to help explain your answers?

Fiscal Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors spending.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effective in using Company's resources.
  1. Monitors expenses and verifies the need for items purchased.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Promotes a vision that inspires individuals to take risks to achieve greater rewards.
  1. Is aware of their own actions and how that impacts the department.
  1. Crafts a compelling vision that motivates employees to align their efforts with the organization's goals.
  1. Concentrates employees' tasks on essential parts of the vision.
  1. Creates a vision that adds value to the organization.
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.