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 display high energy and enthusiasm on consistent basis.
  1. You drive and mobilizes others progress toward goals.
  1. You motivate & supports others to gain skills
  1. You make effective decisions
  1. You make effective decisions, even when under pressure.
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 stay focused even when under pressure and stress.
  1. You maintain self-control when personally criticized.
  1. You maintain focus when handling several problems or tasks simultaneously.
  1. You set appropriate goals for employees.
  1. You make sure that employees understand how their work relates to organizational goals.
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. You provide constructive, ongoing feedback.
  1. You appropriately recognize and reward employees.
  1. You resolve personnel problems quickly and effectively.
  1. You promote teamwork and cooperation within the department.
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. You prepare for unexpected contingencies.
  1. You immediately work to complete goals well before your deadline.
  1. You take decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. You take action without being asked.
  1. You go above and beyond the stated goals.
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 perform regular risk analyses to minimize adverse outcomes.
  1. You seek to maintain the long-term viability of the Company.
  1. You maintain open communication with other departments.
  1. You are able to perceive the risks of different work tasks and activities.
  1. You seek to retain the best and brightest employees.
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 keep up-to-date with legislation affecting employees.
  1. You address issues quickly before they develop into major problems.
  1. You are professional and courteous in interactions with auditors and regulators.
  1. You create and maintain necessary regulatory documentation.
  1. You are aware of the documents and reports needed to maintain compliance with 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 take immediate action on poor performance
  1. You give others development opportunities through project assignments and increased job responsibilities
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You work to identify root causes of performance problems
  1. You provide ongoing feedback to co-workers on your development progress
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 constructively receive criticism and suggestions from others.
  1. You form working relationships with employees from other departments.
  1. You work effectively with people from other departments.
  1. You are able to see issues from others' perspectives.
  1. You work across boundaries within the organization.
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 get things done through the department.
  1. You are able to use corporate politics to advance department objectives.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. You anticipate problems that may affect the department.
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.