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. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Analyzes interpersonal problems instead of reacting to them.
  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. 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. Contributing fully to the extent of their skills
  1. Keep themselves up-to-date of technical/professional issues
  1. Encourages employees to take courses relevant to their job.
  1. Seeks opportunities for 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
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is able to manage their own emotions.
  1. Is able to control their own emotions.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
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
Always
Exhibits this
Competency
  1. Ensures resources are utilized at the appropriate levels for each phase of the project.
  1. Defines the project scope, goals, and resources.
  1. Understands what software tools are available to be used to manage the project.
  1. Determines the project strategy for implementation.
  1. Identifies the source materials that will be needed.
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. Challenges current procedures to develop other alternatives.
  1. Builds upon the ideas and solutions of others.
  1. Finds creative ways to get things done with limited resources.
  1. Suggests new ideas at meetings.
  1. Implements best practices within the department.
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. Demonstrates mastery of the technical competencies required in his/her work.
  1. Seeks information from others as needed.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and expertise; sought out as resource by others
Please feel free to provide any comments to help explain your answers?

Clarity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Avoids stating unclear or conflicting goals.
  1. Writes clear job descriptions for positions in the organization.
  1. Maintains clarity in goals and objectives.
  1. Is clear about the roles and duties of team members.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains honesty and transparency in all communications.
  1. Takes responsibility for their actions and admits mistakes openly.
  1. Works to achieve established goals.
  1. Holds self and others accountable for meeting the deadline.
  1. Establishes who is responsible for various aspects of the project.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Provides clear, motivating, and constructive feedback.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
  1. Helps employees to maintain high personal standards.
  1. Conducts regular performance appraisals and feedback.
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
Always
Exhibits this
Competency
  1. Monitors expenses and verifies the need for items purchased.
  1. Develops budgets and plans for various programs and initiatives.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Keeps excellent records for financial transparency.
  1. Effective in using Company's resources.
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. Creates a positive vision of the future for the Company.
  1. Creates a timeline to fulfill the organization's vision.
  1. Envisions and articulates a clear path for the department's accelerated growth over the next year.
  1. Translates the department's vision into actionable objectives and a strategic plan.
  1. Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
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.