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)

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.

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. Leaves time in the schedule for unplanned contingencies.
  1. Completes high-priority work within required timelines.
  1. Uses agendas when chairing or facilitating meetings.
  1. Deals effectively with interruptions.
  1. Sets a good balance between work and family life.

Commitment To Result

Agree Unsure Disagree N/A
  1. Takes immediate action toward goals.
  1. Able to focus on a task even when working alone.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Committed to the team.


Agree Unsure Disagree N/A
  1. Clarifies problems and their causes to help employees correct them.
  1. Attends to the important details of a job or task.
  1. Avoids stating unclear or conflicting goals.
  1. Avoids creating ambiguity or mixed messages.
  1. Checks details thoroughly.

Bias for Action

Agree Unsure Disagree N/A
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Encourages risk taking and experimentation to improve performance
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Motivates others to achieve or exceed goals


Agree Unsure Disagree N/A
  1. Considers other's opinion and suggestions.
  1. Seeks feedback to enhance performance.
  1. Is easy to approach with ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
  1. Is visible and approachable.


Agree Unsure Disagree N/A
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive and fun work environment.
  1. Treats all people fairly and with respect.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.

Problem Solving

Agree Unsure Disagree N/A
  1. Effective in solving problems.
  1. Solves problems using logic and insight.
  1. Is a good problem solver and decision maker
  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. Has a strategic awareness on how to promote the organization.
  1. Able to adapt the department to changing business demands and climate.
  1. Exhibits determination and passion in completion of goals.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Encourages risk taking for developing potential business opportunities.


Agree Unsure Disagree N/A
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Leads employees in new directions.
  1. Persuades others to follow the Company's vision.
  1. Behaves in a way that is consistent with business values & code of conduct

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.