Time Management - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

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 .

Time Management

Agree Unsure Disagree N/A
  1. Sets clearly defined goals.
  1. Keeps and maintains a To-Do list.
  1. Completes high-priority work within required timelines.
  1. Uses agendas when chairing or facilitating meetings.
  1. Makes time for developing plans and schedules.

Commitment To Result

Agree Unsure Disagree N/A
  1. Coordinates all department activities into a cohesive team effort.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Committed to the team.
  1. Maintains persistence and dedication to achieving results.


Agree Unsure Disagree N/A
  1. Is clear about the roles and duties of team members.
  1. Avoids creating ambiguity or mixed messages.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Avoids stating unclear or conflicting goals.

Bias for Action

Agree Unsure Disagree N/A
  1. Displays high energy and enthusiasm on consistent basis.
  1. Encourages risk taking and experimentation to improve performance
  1. Completes a large volume of work.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Completes work on time


Agree Unsure Disagree N/A
  1. Open to the suggestions of others.
  1. Shares past experiences with others as learning opportunities.
  1. Actively seeks feedback from others.
  1. Considers other's opinion and suggestions.
  1. Is easy to approach with ideas and opinions.


Agree Unsure Disagree N/A
  1. Is gracious and professional in their interactions with others.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
  1. Contributes to a positive work environment.
  1. Visibly supports and encourages diversity in style and background.

Problem Solving

Agree Unsure Disagree N/A
  1. Is a good problem solver and decision maker
  1. Identifies and assesses all potential responses to a problem.
  1. Works cooperatively with others to solve problems.
  1. Ability to develop innovative solutions to problems.
  1. Ability to solve problems at root cause rather than at symptom level.


Agree Unsure Disagree N/A
  1. Finds unique ways to go around barriers to success.
  1. Takes the initiative to complete tasks.
  1. Understands the processes and various stages of business development.
  1. Encourages risk taking for developing potential business opportunities.
  1. Able to adapt the department to changing business demands and climate.


Agree Unsure Disagree N/A
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Develops action plans to align his/her work with the goals of the organization
  1. Creates a positive vision of the future for the Company.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Leads employees in new directions.

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

  2. Strengths

  3. Areas for Development

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