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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.



Edit this Survey
Would you like to edit this survey? Click here to begin.


Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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  1. You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. You create strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. You maintain knowledge of current trends in the industry.
  1. You create values statements to ensure all employees are working under the same guiding principles.
  1. You formulate policies and strategies for addressing the Company's important challenges.
Please feel free to provide any comments to help explain your answers?

Entrepreneurship

Does Not
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Competency
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  1. You are comfortable operating in an environment of uncertainty.
  1. You encourage dynamic growth opportunities.
  1. You work hard toward the realization of goals.
  1. You set business policies and procedures.
  1. You can work effectively in an environment of uncertainty.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
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  1. You build working relationships with others across cultures.
  1. You have positive interactions with individuals from different cultures and backgrounds.
  1. You are able to work with individuals having different backgrounds and cultures.
  1. You accept setbacks and challenges in foreign markets as improvement opportunities
  1. You understand how cultures differ and how these differences impact work behavior.
Please feel free to provide any comments to help explain your answers?

Adaptability

Does Not
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  1. You are flexible and open to new ideas and encourages others to recognize the value of change.
  1. You are able to adapt to changes in technology and processes.
  1. You recognize and implement changes to enhance efficiency and effectiveness.
  1. You adjust plans or schedules to deal with changing situations.
  1. You are able to adjust plans to meet new situations.
Please feel free to provide any comments to help explain your answers?

Self Management

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Competency
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  1. You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You step away from a situation to process appropriate response.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You are 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?

Emotional Intelligence

Does Not
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Competency
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Competency
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  1. You are able to express yourself clearly.
  1. You stay calm, composed and positive during difficult events.
  1. You are able to understand others' points of view.
  1. You do not view setbacks as personal failures.
  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

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  1. You establish stretch goals to advance skills and output.
  1. I am able to reduce department expenses by 25 percent.
  1. You take calculated risks.
  1. You set challenging goals.
  1. You accept setbacks and challenges as improvement opportunities
Please feel free to provide any comments to help explain your answers?

Objectives

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  1. You are able to establish realistic goals.
  1. You encourage others to take on greater responsibility.
  1. You establish goals and objectives.
  1. You effectively organize resources and plans
  1. You assure [Company] principles are understood, employed & pursued.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
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Competency
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Competency
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  1. You identify predictable hazards in the workplace.
  1. You participate in safety training when available.
  1. You keep accurate safety records.
  1. You commit adequate resources toward safety measures.
  1. You mitigate hazards and safety issues that arise.
Please feel free to provide any comments to help explain your answers?

Recognition

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  1. You let employees know when they have done well
  1. You recognize individuals for a specific outstanding achievement.
  1. You are sincerely interested in the suggestions of co-workers
  1. You recognize team members who offer a significant contribution to a project.
  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.