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Initiative - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Initiative:
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

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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:
Initiative, Communication Skills, Action, Self Management, Management, Project Management, Delegation, Partnering/Networking, Business Acumen, Strategic Insight, Global Perspective
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.



Edit this Survey
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Initiative

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. You confront problems immediately without supervisor instructions.
  1. You are proactive when preparing for potential problems or critical events.
  1. I clean the workspace without being told.
  1. You initiate draft documents for the director.
  1. I look for opportunities to move projects forward.
Please feel free to provide any comments to help explain your answers?

Communication Skills

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  1. You are visible and approachable; is there when others are in need.
  1. You deliver messages with energy, enthusiasm, and conviction.
  1. You listen to others' points of view with an open mind
  1. You communicate Corporate initiatives in a relevant and actionable manner to employees within your organization.
  1. You effectively deliver presentations to teams, large groups, and diverse audiences
Please feel free to provide any comments to help explain your answers?

Action

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  1. I take the initiative to address problems sooner rather than later.
  1. I gladly accept new challenges and work on them with urgency.
  1. I do not procrastinate when there is a job to be done.
  1. I take action to respond to dissatisfied customers.
  1. I ensure that the team's tasks align with its overall objectives.
Please feel free to provide any comments to help explain your answers?

Self Management

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  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
Please feel free to provide any comments to help explain your answers?

Management

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  1. I define performance expectations to guide consistent execution.
  1. I treat others with respect and fairness, modeling inclusive and professional behavior across roles.
  1. I strategically optimize resources to improve efficiency.
  1. I organize and sequences tasks based on urgency, impact, and resource availability.
  1. You monitor performance on a regular basis.
Please feel free to provide any comments to help explain your answers?

Project Management

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  1. You assess the ability of the organization to handle the project.
  1. You correctly estimate the cost of supplies for the project.
  1. You have detailed knowledge about the project and can adapt the project plan as needed.
  1. You are able to adjust project schedule as needed to accommodate unforeseen issues.
  1. You accurately determine the number of staff needed for the project.
Please feel free to provide any comments to help explain your answers?

Delegation

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  1. I demonstrate confidence in employees' capabilities by granting appropriate decision-making authority.
  1. You clearly define duties and tasks to be completed.
  1. You assign tasks to create learning opportunities for the employees.
  1. I offer work that aligns with career aspirations.
  1. I allow employees the space to manage their own workload effectively.
Please feel free to provide any comments to help explain your answers?

Partnering/Networking

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  1. You provide expertise that may be lacking in other partners or other parts of the network.
  1. I network with clients to determine improvements in operations.
  1. I develop alliances with colleagues at other companies.
  1. You create the conditions for partnerships to grow and develop.
  1. You support a partnering/networking culture.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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  1. You understand financial terminology, statements.
  1. I recognize the potential business impact of specific risks.
  1. I look at business problems from a variety of perspectives.
  1. I establish key performance indicators (KPIs) to measure progress and success.
  1. I gather important information from customers to make sure our products are relevant and useful.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

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  1. I translate complex industry trends into actionable strategies for the team/department.
  1. I anticipate talent needs based on projected business growth and industry developments.
  1. You integrate financial, operational, and marketing data to guide strategic priorities and resource allocation.
  1. You create a mission statement describing the purpose for the organization.
  1. You educate team members on emerging trends and their implications for current projects or goals.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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Competency
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  1. You accept setbacks and challenges in foreign markets as improvement opportunities
  1. You are able to listen and understand others and discuss issues in a respectful way.
  1. You analyze global issues/problems that are having a large impact on the Company.
  1. You set the example for team on importance of cultural awareness.
  1. You form strong client relationships with international partners.
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.