Time Management - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Time 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 selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

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


Time Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Makes the most of limited time available.
  1. Arrives to (attends) meetings on time.
  1. Performs high-impact work first.
  1. Uses a journal, log, or schedule to keep track of how much time is spent doing each task.
What are your suggestions for how [Participant Name] can make improvements
in Time Management?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops solutions to challenging problems.
  1. Is creative.
  1. Creates a lot of new ideas.
  1. Inspires creativity in their team.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Does whatever it takes (within reason) to get the job done.
  1. Makes decisions confidently and stands by them.
  1. Will take action to address a problem rather than to wait to confer with others about the situation.
  1. Takes responsibility for meeting performance standards.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Cultural Awareness

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Hires individuals with different cultural backgrounds for the department.
  1. Engages with individuals that have different cultural backgrounds.
  1. Seeks knowledge and information about other cultures.
  1. Understands the impact that our culture may have on interactions between individuals.
What are your suggestions for how [Participant Name] can make improvements
in Cultural Awareness?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Uses alternate tools for analysis to check the reliability of previous analyses.
  1. Selects the appropriate techniques for analysis.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Able to project future data points based on historical data.
What are your suggestions for how [Participant Name] can make improvements
in Analytical?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes corrective action to address performance deficiencies/issues.
  1. Is proactive when preparing for potential problems or critical events.
  1. Takes charge when there is a crisis.
  1. Initiates draft reports for consideration.
What are your suggestions for how [Participant Name] can make improvements
in Initiative?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Keeps track of multiple assignments and deadlines.
  1. Organizes tasks for the most efficient order of completion.
  1. Monitors progress frequently to maintain on schedule.
  1. Effectively manages time to stay on schedule.
What are your suggestions for how [Participant Name] can make improvements
in Juggling Multiple Responsibilities?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
What are your suggestions for how [Participant Name] can make improvements
in Excellence?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is committed to resolving customer issues in a positive way.
  1. Promptly responds to customers.
  1. Anticipates potential obstacles to meeting customer needs.
  1. Is focused on improving customer services.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Allows the employees to have flexible work schedules.
  1. Gives employees important tasks to expand their career options.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
  1. Allows for flexibility in the working hours.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks to reduce the scarcity of limited resources by sourcing materials from new locations.
  1. Prepares team members to accept differing view points.
  1. Encourages both sides to make compromises to resolve the conflict.
  1. Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps the team to bounce back from obstacles.
  1. Is committed to the success of the team.
  1. Communicates a clear message that teamwork and collaboration are expected.
  1. Facilitates effective decision-making practices to further develop the team.
What are your suggestions for how [Participant Name] can make improvements
in Teamwork?


  1. Strengths


  2. Areas for Development


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