Trustworthy - 360 Degree Feedback Survey Sample #3

Questionnaires Measuring Trustworthiness:
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)

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Trustworthy, Interpersonal Skills, Adaptability, Creativity, Passion To Learn, Continual Learning, Quality, Initiative, Responsible, Conflict Management, Entrepreneurship

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Overall, please rate the effectiveness of .

5- Very Effective

4- Effective

3- Neither

2- Ineffective

1- Very Ineffective
Strengths
Areas for Development
Please give any final comments or suggestions for 's assessment.

Trustworthy	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is trustworthy; is someone I can trust.
Takes care to maintain confidential information.
Consistently keeps commitments.
Demonstrates a sense of responsibility and commitment to public trust.
Delivers on promises made.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Values the opinions of others.
Adapts management style to meet the needs of the individual or situation.
Effectively manages conflicts by dealing with them directly and immediately
Demonstrates willingness to work with others.
Is open and approachable
Please feel free to provide any comments to help explain your answers?

Adaptability	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Works effectively in dynamic and changing work environments.
Able to work effectively with new people and new teams.
Learns from personal experiences and/or mistakes.
Flexible and open to new ideas and encourages others to value change.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Please feel free to provide any comments to help explain your answers?

Creativity	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Creates a lot of new ideas.
Is creative and inspirational.
Adds value to the department/organization.
Is creative.
Inspires creativity in their team.
Please feel free to provide any comments to help explain your answers?

Passion To Learn	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is motivated by the desire to be "the best".
Demonstrates through personal behavior the commitment to high standards of performance.
Critiques own performance and learns from experience as a source of continuous improvement.
Persists until goals are achieved and commitments are met.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Please feel free to provide any comments to help explain your answers?

Continual Learning	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
Please feel free to provide any comments to help explain your answers?

Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
Encourages others to achieve high quality standards.
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Please feel free to provide any comments to help explain your answers?

Initiative	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Immediately works to complete goals well before their deadline.
Takes action without being asked.
Takes the initiative to change the direction or course of events.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Goes above and beyond the stated goals.
Please feel free to provide any comments to help explain your answers?

Responsible	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Is a person you can trust.
Please feel free to provide any comments to help explain your answers?

Conflict Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Identifies and takes steps to prevent potential confrontations.
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
Please feel free to provide any comments to help explain your answers?

Entrepreneurship	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Able to adapt the department to changing business demands and climate.
Has a strategic awareness on how to promote the organization.
Finds unique ways to go around barriers to success.
Devotes a certain amount of time and effort to developing new business opportunities.
Exhibits determination and passion in completion of goals.
Please feel free to provide any comments to help explain your answers?