hr-survey.com

Action - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Action:
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)
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:
Action, Establishing Focus/Direction, Supervisory Skills, Initiative, Managing Risk, Regulatory/Compliance, Co-worker Development, Others, Organizational Fluency
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.




Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You make effective decisions, even when under pressure.
  1. You display high energy and enthusiasm on consistent basis.
  1. You work quickly when faced with difficult problems.
  1. You are not afraid to take corrective action when necessary.
  1. You get the job done.
Please feel free to provide any comments to help explain your answers?

Establishing Focus/Direction

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You help guide employees with prioritizing tasks.
  1. You function well under stress, deadlines, and/or significant workloads.
  1. You maintain focus when handling several problems or tasks simultaneously.
  1. You stay focused even when under pressure and stress.
  1. You set appropriate goals for employees.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You encourage employees to achieve your full potential.
  1. I contribute to a productive work environment for the team.
  1. I am successful in resolving personnel conflicts.
  1. You are aware of the unique strengths of each employee.
  1. I have a strong work ethic that inspires others.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. I will continue to work on a problem even in the face of obstacles.
  1. You prepare for unexpected contingencies.
  1. I take corrective action to rectify issues.
  1. I initiate draft reports for consideration.
  1. I take the initiative to solve pressing issues.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You accurately determine appropriate risk levels (i.e., levels of acceptable risk).
  1. You create a risk management strategy for the department.
  1. You create a risk profile for projects and teams.
  1. You develop policies for risk management.
  1. You create informative guides regarding potential risks and risky behaviors.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You perform regular compliance audits.
  1. You provide documents and reports as needed to maintain compliance with laws.
  1. You keep track of changes in legislation affecting regulatory compliance.
  1. You keep up-to-date with legislation affecting employees.
  1. You offer training on various subjects to help ensure employees are aware of regulations.
Please feel free to provide any comments to help explain your answers?

Co-worker Development

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You work to identify root causes of performance problems
  1. You provide ongoing feedback to co-workers on your development progress
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You set and clearly communicate expectations, performance goals, and measurements to others
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
Please feel free to provide any comments to help explain your answers?

Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You form working relationships with employees from other departments.
  1. You are able to see issues from others' perspectives.
  1. You are able to see issues from others' perspectives.
  1. You treat others with respect and dignity.
  1. You support the efforts of other employees in implementing solutions to problems.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are able to explain departmental policies and procedures to others.
  1. You get things done through the department.
  1. You are adept at navigating within the culture of the department.
  1. You understand the current organizational culture.
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
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.