Self-Management - 360 Degree Feedback Survey Sample #13





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

We are delighted to extend an invitation to you to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our leadership development program. This feedback tool has been meticulously designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Self Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Steps away from a situation to process appropriate response.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Uses patience and self-control in working with customers and associates.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.


Feedback

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Is visible and approachable.
  1. Open to the suggestions of others.
  1. Actively seeks feedback from others.
  1. Seeks feedback to enhance performance.
  1. Is easy to approach with ideas and opinions.


Goals

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Achieves goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Establishes and documents goals and objectives.
  1. Goal Setting
  1. Understands & contributes to development of strategic goals.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Includes all stakeholders in the decision making process.
  1. Develops networks and builds alliances with employees throughout the company.
  1. Avoids promoting a hyper competitive culture in favor of a more collaborative one.
  1. Creates an environment where team members feel safe to express their ideas and concerns without fear of judgment.
  1. Encourages teammates to settle their differences and work together.


Empowering Others

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Motivates and encourages employees to be successful in their jobs.
  1. Allows the team to take responsibility for the project.
  1. Includes others in the decision making process.
  1. Distributes the workload to subordinates.
  1. Set clear goals for assignments.


Business Acumen

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Establishes clear, long-term objectives that align with the company's vision and mission.
  1. Seeks to better understand other areas of the company, including their operations, personnel, and output.
  1. Facilitates others in the development and implementation of changes to business operations.
  1. Describes and summarizes data.
  1. Creates a risk management strategy to meet the business needs of the organization.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  3. Overall, please rate the effectiveness of [Participant Name Here].







  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.