hr-survey.com

Action - 360 Degree Feedback Survey Sample #11





360 Feedback 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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.
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Action

What does Action mean?
It means that ...
  • You regularly conduct preventative maintenance on the equipment.
  • You work quickly when faced with difficult problems.
  • I take action in critical situations.
  • I create performance measures to ensure action by the department.
  • I seek out opportunities to contribute beyond assigned responsibilities.

To what extent does this person exhibit Action?
Select from one of the ratings below.

Self Management

What does Self Management mean?
It means that ...
  • You step away from a situation to process appropriate response.
  • You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  • You use patience and self-control in working with customers and associates.
  • You analyze interpersonal problems instead of reacting to them.
  • You do not allow own emotions to interfere with the performance of others.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Performance

What does Performance mean?
It means that ...
  • You shown significant improvement in job performance.
  • You have great overall performance
  • You are effective in performing your job.
  • You listen and respond to issues and problems
  • You effectively organize resources and plans

To what extent does this person exhibit Performance?
Select from one of the ratings below.

Time Management

What does Time Management mean?
It means that ...
  • You use batch processing to accomplish many similar tasks simultaneously.
  • I achieve more through effective time management.
  • You remain dedicated to completing high priority work.
  • You achieve high output to meet deadlines.
  • I allocate full attention to completing critical tasks.

To what extent does this person exhibit Time Management?
Select from one of the ratings below.

Developing Others

What does Developing Others mean?
It means that ...
  • You provide constructive feedback to others.
  • You are open to receiving feedback.
  • You create opportunities for professional development.
  • You set performance objectives for subordinates that encourages development opportunities.
  • You assess employees' developmental needs.

To what extent does this person exhibit Developing Others?
Select from one of the ratings below.

Organizational Fluency

What does Organizational Fluency mean?
It means that ...
  • You are aware of other organizational cultures to compare/contrast with the current organizational culture.
  • You are adept at navigating within the culture of the department.
  • You understand departmental policies and procedures.
  • You are able to explain departmental policies and procedures to others.
  • You understand the current organizational culture.

To what extent does this person exhibit Organizational Fluency?
Select from one of the ratings below.
Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.