hr-survey.com

Achievement - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Achievement:
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 for Employees Participating in the 360-Feedback Assessment:

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

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. 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 over the last 12 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 combined with the responses received from others and a report will be generated for you 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:
Achievement, Interpersonal Skills, Coaching, Entrepreneurship, Action, Continual Learning, Adaptability, Leadership, Decision Making
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


Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You inspire others to work with a sense of urgency.
  1. You eliminate bureaucratic barriers to streamline processes.
  1. You make use of talents of others to help achieve a high level of performance.
  1. You strive to exceed standards of performance.
  1. You establish stretch goals to advance skills and output.
  1. You work at a quick pace to complete a high volume of work.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You build a strong rapport with co-workers.
  1. You are a role model for others
  1. You come across as credible, knowledgeable and sincere
  1. You give honest feedback and suggestions for improvement.
  1. You receive feedback (both positive and negative) in a constructive manner.
  1. You anticipate the concerns of other employees.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You provide clear, motivating, and constructive feedback.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You develop the skills and capabilities of others.
  1. You help employees to understand responsibilities, authority, and expectations.
  1. You conduct regular performance appraisals and feedback.
  1. You help employees to maintain high personal standards.
If you were to make improvements in Coaching, what are your suggestions for how you can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You encourage dynamic growth opportunities.
  1. You believe in your vision for the department/organization.
  1. You seek and utilize mentors to help guide your professional development.
  1. You are able to adapt the department to changing business demands and climate.
  1. You maintain a high level of energy to respond to demands of the job.
  1. You can work effectively in an environment of uncertainty.
If you were to make improvements in Entrepreneurship, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You make effective decisions
  1. You drive and mobilizes others progress toward goals.
  1. You do whatever it takes (within reason) to get the job done.
  1. You are not afraid to take corrective action when necessary.
  1. You motivate & supports others to gain skills
  1. You get the job done.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You build on your strengths while addressing your weaknesses.
  1. You seek opportunities to grow in skills and knowledge.
  1. You expand your educational and future learning opportunities.
  1. You pursue self-improvement through continual learning.
  1. You share best practices with others and learn from others.
  1. You are introspective and aware of your own learning needs.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You embrace changes in technology and automation.
  1. You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. You are flexible and open to new ideas and encourages others to value change.
  1. You are able to recognize the potential benefits of change, and create an infrastructure which supports change.
  1. You learn from personal experiences and/or mistakes.
  1. You are able to quickly learn new ways of performing your job.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You empower others to succeed within your jobs.
  1. You are able to organize the work of others.
  1. You provide structure.
  1. You are accessible and approachable to associates.
  1. You demonstrate effective leadership talent and skills
  1. You communicate calmly and honestly even when stressed.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You seek input from key people who should be involved in, or will be affected by, decisions
  1. You are able to make decisions quickly.
  1. You ask for additional information when making critical decisions.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  1. You do not lose sight of the big picture when making decisions
  1. You break complex issues into manageable parts and organize them in a systematic way before making decisions
If you were to make improvements in Decision Making, what are your suggestions for how you 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.