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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. Confidently communicates across all organizational levels, including external stakeholders.
  1. Communicates clearly and get to the point without unnecessary details.
  1. Listens actively & speaks clearly and directly.
  1. Facilitates seamless communication across all management levels.
  1. Summarizes or paraphrases the current question to confirm understanding.
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. Seeks new opportunities for advancement.
  1. Creates opportunities and then takes advantage of them.
  1. Stays committed to goals even when progress is slow.
  1. Motivates & supports others to gain skills
  1. Demonstrates resilience in the face of adversity.
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. Builds on their strengths while addressing their weaknesses.
  1. Improves on their skill sets.
  1. Views setbacks as opportunities to learn from.
  1. Participates in regular training offered.
  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. Communicates with the necessary stakeholders if the budget targets are missed.
  1. Ensures resources are utilized at the appropriate levels for each phase of the project.
  1. Determines the correct order for the phases of the project.
  1. Organizes work and sets priorities as needed.
  1. Has detailed knowledge about the project and can adapt the project plan as needed.
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. Is open to listening to others who may have different ideas.
  1. Willing to consider information from other sources.
  1. Maintains focus on the "big picture" when making decisions.
  1. Decides which long-term goals should be met.
  1. Decides which short- and long-term goals should be created.
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. Understands the importance of being on time.
  1. Sets goals to complete specific parts of the project by certain times to keep on schedule.
  1. Leverages teams and assigns specialized tasks to maximize productivity.
  1. Processes items in the inbox instead of letting them accumulate.
  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. Maximizes the use of new technology to deliver products and services.
  1. Uses technology in decision making and problem solving.
  1. Supports technical training and development of employees.
  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.
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. Takes time to recognize the efforts of others.
  1. Demonstrates willingness to work with others.
  1. Understands the core issues of conversations.
  1. Is a role model for others demonstrating the importance of interpersonal skills.
  1. Gives credit where credit is due.
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. Looks for opportunities to turn a risk event into an advantage for the company.
  1. Determines the risk tolerance of the company.
  1. Ensures all components of risk management are in place.
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Creates dynamic and responsive enterprise risk management processes.
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. Is aware of the client's needs.
  1. Provides a responsive service that meets the needs of clients.
  1. Is committed to the client's success.
  1. Actively listens to concerns from clients.
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.