Trustworthy - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Trustworthy:
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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you 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 become part of the assessment process to foster your 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.


Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You communicate an understanding of the other person's interests, needs and concerns.
  1. You take ownership, deliver on commitments
  1. You take care to maintain confidential information.
  1. You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. You deliver on promises made.
What are your suggestions for how you can make improvements
in Trustworthy?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You have the confidence to communicate effectively to all levels (from ceo down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. You are able to deliver presentations.
  1. I provide straightforward and brief directions.
  1. You communicate the vision of the organization to all employees.
  1. You speak clearly, fluently, and in a compelling manner to both individuals and groups.
What are your suggestions for how you can make improvements
in Communication Skills?

Professional Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You allow employees to fully participate in employee training and professional development.
  1. You seek opportunities for professional development.
  1. You quickly acquire and apply new knowledge and skills when needed
  1. You encourage employees to take courses relevant to their job.
What are your suggestions for how you can make improvements
in Professional Development?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You develop a good rapport with others.
  1. You ensure stakeholders are involved in the decision making process.
  1. You are able to express own goals and needs.
  1. You persuade others to consider alternative points of view.
  1. You attempt to persuade others rather than simply control them.
What are your suggestions for how you can make improvements
in Persuasion and Influence?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You search for opportunities and innovative ways to improve the organization.
  1. I focus on bottom-up innovative efforts.
  1. You generate innovative and practical solutions.
  1. You help focus the department on innovation.
  1. You take risks that often yield reward.
What are your suggestions for how you can make improvements
in Innovation?

Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I inspire others to accept changes.
  1. I am able to get department employees to accept new changes.
  1. You are effective in implementing new organizational vision and values.
  1. You are effective in dealing with ambiguous and challenging situations.
  1. I facilitate change with minimal resistance.
What are your suggestions for how you can make improvements
in Change Management?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You provide a clear vision for the future.
  1. You adjust communication methods to the needs of the audience.
  1. You avoid stating unclear or conflicting goals.
  1. You communicate with clarity and efficiency.
  1. You seek to reduce ambiguity in messaging and documents.
What are your suggestions for how you can make improvements
in Clarity?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am competent in handling client cases.
  1. You anticipate potential obstacles to meeting client needs.
  1. I meet with clients on a regular basis.
  1. You provide excellent service to clients.
  1. You set an example for excellent client relations.
What are your suggestions for how you can make improvements
in Client Focus?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You provide ongoing feedback to co-workers on your development progress
  1. You work to identify root causes of performance problems
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You take immediate action on poor performance
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
What are your suggestions for how you can make improvements
in Co-worker Development?

Fiscal Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You develop budgets and plans for various programs and initiatives.
  1. You monitor spending.
  1. You ensure others follow the correct rules and regulations on fiscal matters.
  1. You develop of the department's annual budget.
  1. You monitor expenses and verify the need for items purchased.
What are your suggestions for how you can make improvements
in Fiscal Management?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are devoted to carrying out the strategic vision.
  1. I articulate a vision for the department that is aligned with the division/company's vision.
  1. I build a strategic vision by analyzing the company's current position and the market environment, identifying strengths, weaknesses, opportunities, and threats.
  1. I develop a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.
  1. You create strategic initiatives that support the organization's common vision.
What are your suggestions for how you can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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