hr-survey.com

Action - 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

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)
Dear Employee:

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.

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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

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



Action

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Does whatever it takes (within reason) to get the job done.
  1. Drives and mobilizes others progress toward goals.
  1. Effectively makes decisions
  1. Gets the job done.
  1. Is not afraid to take corrective action when necessary.


Passion To Learn

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is committed to enhancing their own knowledge and skills.
  1. Holds self and associates accountable for goal achievement.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Takes advantage of training opportunities when they arise.
  1. Demonstrates through personal behavior the commitment to high standards of performance.


Persuasion and Influence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Attempts to persuade others rather than simply control them.
  1. Ensures stakeholders are involved in the decision making process.
  1. Has excellent influencing/negotiating skills.
  1. Develops a good rapport with others.
  1. Able to express own goals and needs.


Performance

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Effectively organizes resources and plans
  1. Shown significant improvement in job performance.
  1. Sets a high standard for job performance.
  1. Has great overall performance
  1. ...Produce Quality


Innovation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Develops new products and services.
  1. Challenges current procedures to develop other alternatives.
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Finds creative ways to get things done with limited resources.
  1. Encourages open communication to ensure that all proposals are considered.


Achievement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Strives to exceed standards of performance.
  1. Helps others to improve or meet standards of performance.
  1. Takes reasonable risks to achieve desired results.
  1. Completes work to a high technical standard
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.


Excellence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Takes a lot of pride in their work.
  1. Produces high quality work.
  1. Demonstrates the analytical skills to do their job.


Interpersonal Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Able to work with individuals at all levels of the Company.
  1. Expresses appreciation of other's work.
  1. Creates an atmosphere that supports the open expression of ideas
  1. Adapts management style to meet the needs of the individual or situation.
  1. Provides constructive feedback in a way that fosters acceptance and development.


Coaching

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Conducts regular performance appraisals and feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to maintain high personal standards.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Addresses employee behavior problems effectively.


Negotiation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Maintains good interpersonal relationships with representatives from the other party.
  1. Stays calm and focuses on the core issues to be discussed.
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Establishes good working relationships with others.
  1. Able to clearly express thoughts and concerns.


Planning

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Closely follows the plan established for the department.
  1. Allows input from others for the 5-year plan.
  1. Develops strategic plans for ensuring competitiveness in the marketplace.
  1. Divides complex tasks into smaller steps to measure progress toward a goal.
  1. Is good at planning for the "unexpected".



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.