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 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.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Uses patience and self-control in working with customers and associates.
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. Seeks opportunities for professional development.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Encourages employees to take courses relevant to their job.
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for continuous learning.
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 control their own emotions.
  1. Is able to express themselves clearly.
  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 manage their own emotions.
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. Engages stakeholders and team members in open discussions.
  1. Implements project metrics to track progress.
  1. Understands what software tools are available to be used to manage the project.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Ensures that the project remains at or under budget.
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. Solves problems with insight and understanding.
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Develops new products and services.
  1. Builds upon the ideas and solutions of others.
  1. Offers constructive improvements to existing systems.
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. Seeks information from others as needed.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Knows how to produce high quality products/work.
  1. Is knowledgeable of procedures or systems necessary for the job.
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. Maintains clarity in goals and objectives.
  1. Avoids stating unclear or conflicting goals.
  1. Provides a clear vision for the future.
  1. Checks details thoroughly.
  1. Clearly explains responsibilities to individuals.
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. Does not make excuses for missed deadlines.
  1. Accepts personal responsibility for producing high quality and timely work.
  1. Chooses integrity over convenience.
  1. Able to complete required tasks on time and delivered expected results.
  1. Tackles issues head on and finds solutions.
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
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Competency
Always
Exhibits this
Competency
  1. Develops the skills and capabilities of others.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
  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. Keeps excellent records for financial transparency.
  1. Develops of the department's annual budget.
  1. Monitors expenses and verifies the need for items purchased.
  1. Provides budgeting and accounting support to the Company.
  1. Monitors spending.
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. Persuades others to follow the Company's vision.
  1. Communicates the vision and strategy of [Company]
  1. Leads employees in new directions.
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Develops action plans to align his/her work with the goals of 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.