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. Prioritizes new tasks according to their relative importance.
  1. Sets clearly defined goals.
  1. Does not procrastinate.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Makes time for developing plans and schedules.

Commitment To Result

Agree Unsure Disagree N/A
  1. Maintains persistence and dedication to achieving results.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Coordinates all department activities into a cohesive team effort.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Able to focus on a task even when working alone.


Agree Unsure Disagree N/A
  1. Uses appropriate grammar and tense in communications.
  1. Clearly explains the vision and goals of the company.
  1. Avoids creating ambiguity or mixed messages.
  1. Clarifies problems and their causes to help employees correct them.
  1. Makes sure employees understand why they were given certain assignments.

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. Identifies ways to simplify work processes and reduce cycle times
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).


Agree Unsure Disagree N/A
  1. Looks to others for input.
  1. Asks others for their ideas and opinions.
  1. Actively seeks feedback from others.
  1. Accepts the views of others.
  1. Shares past experiences with others as learning opportunities.


Agree Unsure Disagree N/A
  1. Treats all people fairly and with respect.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive work environment.
  1. Is gracious and professional in their interactions with others.
  1. Builds open and trusting relationships.

Problem Solving

Agree Unsure Disagree N/A
  1. Makes judgments based upon relevant information.
  1. Solves problems using logic and insight.
  1. Implements effective solutions to critical problems.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Generates alternative solutions to problems and challenges.


Agree Unsure Disagree N/A
  1. Excellent at managing relationships with stakeholders.
  1. Can work effectively in an environment of uncertainty.
  1. Has a strategic awareness on how to promote the organization.
  1. Able to adapt the department to changing business demands and climate.
  1. Maintains a high level of energy to respond to demands of the job.


Agree Unsure Disagree N/A
  1. Creates a positive vision of the future for the Company.
  1. Develops action plans to align his/her work with the goals of the organization
  1. Leads employees in new directions.
  1. Persuades others to follow the Company's vision.
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.

  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.