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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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. Regularly delivers results on-time.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Excellent at keeping track of time.
  1. Is good at keeping track of time and avoiding getting behind schedule.
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. Adds value to the department/organization.
  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. Makes effective decisions, even when under pressure.
  1. Takes action in critical situations.
  1. Takes corrective action when necessary.
  1. Seeks new opportunities for advancement.
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. Communicates with others without the influence of racism.
  1. Understands how implicit biases can affect decisions, communication and productivity.
  1. Supports and mentors others that may have different cultural backgrounds.
  1. Understands what customs and etiquette are important for individuals from other cultures.
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 appropriate techniques to solve problems.
  1. Determines important parameters or issues to take into account when solving problems.
  1. Selects the appropriate techniques for analysis.
  1. Examines problems in depth and from multiple points of view.
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. Initiates draft reports for consideration.
  1. Takes the initiative to solve pressing issues.
  1. Gladly seeks additional responsibilities.
  1. Analyzes the needs of the situation and acts before being told to do so.
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. Coordinates the work of a team by assigning tasks to other team members.
  1. Effectively handles scheduling conflicts.
  1. Informs supervisor of the various tasks being worked on.
  1. Spends the most time and effort on critical tasks first.
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. Takes a lot of pride in their work.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the functional or technical skills necessary to do their job.
  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. Prioritizes the needs and preferences of the customer.
  1. Treats customers with courtesy and respect.
  1. Delivers high quality products to the customer.
  1. Responds to the needs of the customer.
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. Motivates and encourages employees to be successful in their jobs.
  1. Ensures employees understand what is being assigned to them.
  1. Acknowledges and appreciates employees for their proactive decision-making.
  1. Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
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. Promotes mutual compromise to achieve conflict resolution.
  1. Encourages individuals to seek areas of common ground.
  1. Settles disputes with agreement from both parties.
  1. Works with others as needed to facilitate resolution of conflicts.
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. Communicates well with team members.
  1. Actively participates in the work of teams; seeks and listens to others' contributions
  1. Is committed to the success of the team.
  1. Willing to listen to the ideas of other team members.
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.