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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. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Please feel free to provide any comments to help explain your answers?

Professional Development

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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Competency
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Keep themselves up-to-date of technical/professional issues
  1. Contributing fully to the extent of their skills
  1. Quickly acquire and apply new knowledge and skills when needed
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to express themselves clearly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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  1. Ensures resources are utilized at the appropriate levels for each phase of the project.
  1. Develops performance measures for various aspects of the project.
  1. Communicates the results of the project, at the conclusion, to all stakeholders.
  1. Has the requisite industry knowledge to manage projects in this field.
  1. Estimates the staffing requirements for the project.
Please feel free to provide any comments to help explain your answers?

Innovation

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Guarantees that team members are equipped with the technical expertise needed to excel in innovative projects.
  1. Plays a pivotal role in fostering an environment where radical innovation can flourish and lead to major breakthroughs.
  1. Regularly audits the company's innovation effectiveness.
  1. Creates new and efficient processes.
  1. Offers constructive improvements to existing systems.
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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Competency
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Competency
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Is knowledgeable of procedures or systems necessary for the job.
  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. Willingly shares his/her technical expertise; sought out as resource by others
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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Competency
Sometimes
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Competency
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Competency
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Writes clear job descriptions for positions in the organization.
  1. Checks details thoroughly.
  1. Uses appropriate grammar and tense in communications.
  1. Avoids stating unclear or conflicting goals.
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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Competency
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Competency
  1. Works diligently for the success of the team.
  1. Holds employees accountable for their participation in solving department problems and issues.
  1. Consistently exhibits professionalism in interactions with employees.
  1. Willing to answer for their own actions and performance.
  1. Tackles issues head on and finds solutions.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Provides clear, motivating, and constructive feedback.
  1. Develops the skills and capabilities of others.
  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. Helps employees to maintain high personal standards.
Please feel free to provide any comments to help explain your answers?

Fiscal Management

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Develops of the department's annual budget.
  1. Keeps excellent records for financial transparency.
  1. Effective in using Company's resources.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Directs team efforts towards key elements of the vision.
  1. Inspires employees to support the departmental vision.
  1. Supports a strong employee culture to ensure alignment with the company's vision.
  1. Develops strategies that align with the organization's collective vision.
  1. Plans a roadmap for the department's growth and expansion.
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.