hr-survey.com

Self-Management - 360 Degree Feedback Survey Sample #4





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)
Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Sample Result Document:
Sample Results
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.


Edit this Survey
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Self Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Consciously controls own negative emotions in order to keep team morale up.

Continual Learning

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Seeks opportunities to grow in skills and knowledge.
  1. Takes the initiative to learn new skills.
  1. Shares best practices with others and learns from others.
  1. Pursues learning that will enhance job performance.
  1. Views setbacks as opportunities to learn from.

Leadership

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Holds others accountable for their actions.
  1. Recognizes individual and team accomplishments and reward them appropriately.
  1. Expresses clear goals and objectives.
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Is a highly effective supervisor.

Adaptability

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Able to adjust to changes as needed.
  1. Is aware of changes to the policies and procedures.
  1. Works effectively in dynamic and changing work environments.
  1. Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
  1. Responsive to the needs of others.

Persuasion and Influence

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
  1. Seeks to obtain consensus or compromise.
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.

Administrative Skill

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Has strong technical/computer skills.
  1. Takes responsibility for decisions.
  1. Completes reports on-time.
  1. Strong organizational skills to keep the workspace and department in order
  1. High attention to detail.

Juggling Multiple Responsibilities

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Switches attention to more urgent tasks when necessary.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Prioritizes tasks for efficiency.
  1. Spends the most time and effort on critical tasks first.

Technology Use/Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Uses technology in decision making and problem solving.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Proficient in the use of technical systems and processes.
  1. Maximizes the use of new technology to deliver products and services.
  1. Adopts the implementation of new technology into the workplace.

Responsible

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Sets a good example
  1. ...takes personal responsibility for results.
  1. Responsible for setting the vision of the department.
  1. Holds herself / himself accountable to goals / objectives
  1. Completes assigned work tasks.

Empowering Others

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Recognizes that employees may need flexibility in their working hours.
  1. Distributes the workload to subordinates.
  1. Allows for flexibility in the working hours.
  1. Values the expertise that others bring to the team.
  1. Trusts employees to complete tasks assigned.

Coaching

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Conducts regular performance appraisals and feedback.

Strategic Focus

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Makes sure that all departments/teams are contributing toward the success of the strategy.
  1. Makes sure the objectives are clearly communicated and understood.
  1. Maintains strategic focus by regularly reviewing the strategic plan and taking corrective actions as needed to stay on track.
  1. Strategically positions resources to meet the needs of branch locations.
  1. Develops strategies to increase efficiency and reduce environmental impacts.

Fiscal Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Develops budgets and plans for various programs and initiatives.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Provides budgeting and accounting support to the Company.
  1. Develops of the department's annual budget.
  1. Monitors expenses and verifies the need for items purchased.


  1. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?


  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:


  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?


  8. Use the space below to enter any final comments you would like to be noted: