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360 Degree Feedback Sample Survey Questionnaire from HR-Survey.com





360-Degree Feedback Survey

Questionnaires Measuring Communication:
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:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your 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 working with this employee over the last twelve months. 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 be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

Competencies Included:
Communication Skills, Action, Continual Learning, Project Management, Decision Making, Time Management, Technology Use/Management, Interpersonal Skills, Managing Risk, Client Focus
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Updates others on changes or progress in plans and goals.
  1. Provides feedback in a helpful and respectful way, focusing on improvement.
  1. Comes across as comfortable and effective as a public speaker
  1. Able to communicate ideas effectively and succinctly to both individuals and groups, in any setting.
  1. Presents issues, ideas, and strategy concisely and clearly.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes proactive steps to address potential issues before they became a problem.
  1. Effectively makes decisions
  1. Undertakes actions to achieve specific goals.
  1. Takes responsibility for actions.
  1. Takes the initiative to address problems sooner rather than later.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks opportunities to grow in skills and knowledge.
  1. Pursues self-improvement through continual learning.
  1. Sets relevant learning objectives and goals.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Is open to new ideas and concepts.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keeps accurate records regarding the costs of various aspects of the project.
  1. Maps out the project, timeline, resource requirements, metrics and communication.
  1. Changes the implementation of specific phases of the project to mitigate certain risks.
  1. Communicates with the teams often to ensure that the deadlines are met.
  1. Implements project metrics to track progress.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Knows when to delegate, collaborate, or pause based on an assessment of my capabilities or expertise.
  1. Makes decisions independently (without having to be told what or how).
  1. Is firm in their decision and not easily influenced by the whims of others.
  1. Defines parameters that will impact the decision making process.
  1. Willing to change their strategy if new information arises.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Time Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
  1. Provides accurate estimates for the amount of time needed to accomplish certain tasks.
  1. Deals effectively with interruptions.
  1. Leverages teams and assigns specialized tasks to maximize productivity.
  1. Delegates simple tasks to employees so the manager can focus on more complex tasks.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  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. Supports technical training and development of employees.
  1. Proficient in the use of technical systems and processes.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Easily approachable.
  1. Provides constructive feedback in a way that fosters acceptance and development.
  1. Offers praise to colleagues who have successfully completed major projects.
  1. Works diligently to assist customers in finding the right products.
  1. Effectively manages conflicts by dealing with them directly and immediately
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Managing Risk

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Determines the impact of specific risks on infrastructure.
  1. Determines how the risk management information is to be used.
  1. Tracks risks in a project.
  1. Has the knowledge and skills to accurately identify risks in the workplace.
  1. Understands the possible financial risks of different events.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?

Client Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Provides excellent service to clients.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Ensures clients are comfortable with the services provided.
  1. Consistently meets client's needs.
  1. Addresses client complaints immediately.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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