Strategic Insight- 360 Degree Feedback Survey Sample #3





Competencies Included:
Strategic Insight, Entrepreneurship, Global Perspective, Adaptability, Self Management, Emotional Intelligence, Achievement, Objectives, Safety, Recognition
Surveys Measuring Strategic Insight:
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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. Other employees, including your manager(s), peers, and direct reports will also evaluate you.

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.




Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You ommunicate with employees to find out their needs.
  1. You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. You strategically align projects to the goals of the company.
  1. I inspire employees to adopt the strategic plan.
  1. You maintain knowledge of current trends in the industry.
Please feel free to provide any comments to help explain your answers?

Entrepreneurship

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. You defy conventions and the "normal" way of doing things.
  1. You identify issues that need to be addressed.
  1. You understand the processes and various stages of business development.
  1. You encourage dynamic growth opportunities.
  1. You are excellent at managing relationships with stakeholders.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
Seldom
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Competency
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Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. You are aware of the culture, behaviors, identities and beliefs of others.
  1. You align personal vision with global strategies.
  1. You cooperate with others on a global scale.
  1. You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. You have positive interactions with individuals from different cultures and backgrounds.
Please feel free to provide any comments to help explain your answers?

Adaptability

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. You adjust priorities to changing business goals.
  1. You respond quickly to new information.
  1. You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. You perform a wide range of tasks, respond to changes in direction and priorities and accept new challenges, responsibilities, and assignments.
  1. You are able to adjust to the new vision and mission of the company.
Please feel free to provide any comments to help explain your answers?

Self 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. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. You step away from a situation to process appropriate response.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You use patience and self-control in working with customers and associates.
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
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Exhibits this
Competency
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Exhibits this
Competency
  1. You are able to manage your own emotions.
  1. You are able to control your own emotions.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You are able to express yourself clearly.
  1. You help to make decisions and solve problems using knowledge about how others will react in certain situations.
Please feel free to provide any comments to help explain your answers?

Achievement

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. You set challenging goals for the department.
  1. I can complete training on the new equipment.
  1. You establish stretch goals to advance skills and output.
  1. You work at a quick pace to complete a high volume of work.
  1. You set challenging goals.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
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Competency
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Competency
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Competency
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  1. You are able to organize work.
  1. You set long-term and short-term goals.
  1. You effectively organize resources and plans
  1. You communicate goals and objectives to employees.
  1. You are able to establish realistic goals.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Exhibits this
Competency
  1. You perform work safely.
  1. You participate in safety training when offered.
  1. You commit adequate resources toward safety measures.
  1. You develop safety guidelines for the department.
  1. You participate in safety training as applicable.
Please feel free to provide any comments to help explain your answers?

Recognition

Does Not
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Competency
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Competency
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Competency
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Competency
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Competency
  1. You let employees know when they have done well
  1. You say "thank you" to show appreciation for work of others.
  1. You recognize individuals for a specific outstanding achievement.
  1. You reinforce and reward employees for accomplishing necessary goals.
  1. You make people around them feel appreciated and valued.
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.