Vision- 360 Degree Feedback Survey Sample #3





Competencies Included:
Vision, Planning, Passion To Learn, Emotional Intelligence, Persuasion and Influence, Juggling Multiple Responsibilities, Technology Use/Management, Clarity, Trustworthy, Customer Focus, Teamwork
Surveys Measuring Vision:
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)
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.

Sample Result Document:
Sample Results
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 this a great company.

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






Vision

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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  1. Develops a vision to empower employees to make more effective decisions.
  1. Articulates a vision for the department that is aligned with the division/company's vision.
  1. Tasks employees with realizing the vision.
  1. Analyzes data and industry patterns to forecast opportunities and challenges.
  1. Creates and executes a strategic vision that drives the company's growth forward.
Please feel free to provide any comments to help explain your answers?

Planning

Does Not
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Competency
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  1. Anticipates obstacles and ways to overcome them.
  1. Prioritizes tasks and allocates resources.
  1. Able to identify the needs of the department before a major change.
  1. Determines the allocation of funds based on plans for future development.
  1. Determines the amount of materials/supplies needed for the project.
Please feel free to provide any comments to help explain your answers?

Passion To Learn

Does Not
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Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Creates an environment that supports personal development and exploration.
  1. Is open to feedback from others.
  1. Is open minded and curious about learning new skills.
  1. Holds self and associates accountable for goal achievement.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
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  1. Able to understand others' points of view.
  1. Is able to control their own emotions.
  1. Is able to express themselves clearly.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

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  1. Persuades others to consider alternative points of view.
  1. Develops a good rapport with others.
  1. Attempts to persuade others rather than simply control them.
  1. Able to express own goals and needs.
  1. Ensures stakeholders are involved in the decision making process.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Keeps track of multiple assignments and deadlines.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Prioritizes tasks for efficiency.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Determines which tasks are critical and which tasks are optional.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
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Seldom
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  1. Uses technology in decision making and problem solving.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Maximizes the use of new technology to deliver products and services.
  1. Understands and is committed to implementing new technologies.
Please feel free to provide any comments to help explain your answers?

Clarity

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Competency
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  1. Clearly explains the vision and goals of the company.
  1. Clarifies problems and their causes to help employees correct them.
  1. Writes clear job descriptions for positions in the organization.
  1. Adjusts communication methods to the needs of the audience.
  1. Is clear about the roles and duties of team members.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
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  1. Takes ownership, delivers on commitments
  1. Builds and maintains the trust of others.
  1. Consistently keeps commitments.
  1. Works in a way that makes others want to work with her/him.
  1. Delivers on promises made.
Please feel free to provide any comments to help explain your answers?

Customer Focus

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  1. Anticipates customer needs.
  1. Thoroughly understands the needs of the customer.
  1. Identifies the most pressing needs of each customer.
  1. Creates customized solutions for the customer.
  1. Maintains strong relationships with customers.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
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  1. Finds opportunities to recognize and reward team members.
  1. Actively participates in the work of teams; seeks and listens to others' contributions
  1. Helps the team exercise good judgment by making sound and informed decisions.
  1. Works with other team members to identify bottle necks in the production process.
  1. Shares resources and information with the team.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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