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Self-Management - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Self:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.



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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. Analyzes interpersonal problems instead of reacting to them.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  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.
Please feel free to provide any comments to help explain your answers?

Professional Development

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Allows employees to fully participate in employee training and professional development.
  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.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
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Competency
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Competency
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  1. Able to understand others' points of view.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to express themselves clearly.
  1. Accurately perceives the emotional reactions of others.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
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Competency
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Competency
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  1. Determines the project strategy for implementation.
  1. Interacts with stakeholders regarding the outcomes required by the project.
  1. Creates a vision for execution of the project to ensure coordination across all teams.
  1. Understands the financial, strategic, resources, staffing, timeline and market risks that may impact the project.
  1. Monitors timelines and milestones to ensure set benchmarks are met.
Please feel free to provide any comments to help explain your answers?

Innovation

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Competency
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Competency
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  1. Empowers employees to create innovative solutions to problems.
  1. Modifies innovative initiatives to capitalize on strengths and mitigate potential risks.
  1. Fosters a creative and dynamic work environment where employees feel empowered to contribute to the company's growth and success.
  1. Ensures that employees feel safe to take risks and experiment without the fear of failure or retribution.
  1. Understands that innovation requires doing things differently.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
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Competency
Seldom
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Competency
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  1. Knows how to produce high quality products/work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Demonstrates mastery of the technical competencies required in his/her work.
Please feel free to provide any comments to help explain your answers?

Clarity

Does Not
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Competency
Seldom
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  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Adjusts communication methods to the needs of the audience.
  1. Maintains clarity in goals and objectives.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Seeks to reduce ambiguity in messaging and documents.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
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Competency
Seldom
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Competency
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  1. Exhibits a sense of ownership of outcomes and results.
  1. Sets clear expectations for performance.
  1. Takes responsibility for seeing the project through to completion.
  1. Takes responsibility for errors in the production line.
  1. Documents performance goals through an individual development plan.
Please feel free to provide any comments to help explain your answers?

Coaching

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Competency
Seldom
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  1. Is attentive to the needs of others
  1. Provides guidance and feedback to help accomplish a task or solve a problem.
  1. Listens to ideas and suggestions from others.
  1. Helps employees achieve high performance.
  1. Takes time to learn the work interests and career goals of employees.
Please feel free to provide any comments to help explain your answers?

Fiscal Management

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Competency
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Competency
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Provides budgeting and accounting support to the Company.
  1. Effective in using Company's resources.
  1. Monitors expenses and verifies the need for items purchased.
  1. Develops of the department's annual budget.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
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Competency
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Competency
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Competency
  1. Devoted to carrying out the strategic vision.
  1. Invites employees to co-create strategies that bring the vision to life, fostering shared ownership.
  1. Models a strategic vision based on insights gained from in depth investigations into the performance of the company.
  1. Creates a common vision for others.
  1. Encourages cross-functional collaboration to break silos and accelerate vision execution.
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.