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Attitude - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Attitude:
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:

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

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.

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:
Attitude, Communication Skills, Bias for Action, Establishing Focus/Direction, Persuasion and Influence, Analytical, Excellence, Responsible
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
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Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Is gracious and professional in their interactions with others.
  1. Pleasant and gracious to work with.
  1. Enjoys working in the department
  1. Visibly supports and encourages diversity in style and background.
  1. Has genuine concern for others.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Effectively and regularly communicates regarding issues that are critical to the team
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. Speaks clearly, fluently, and in a compelling manner to both individuals and groups.
  1. Uses software, graphics, or other aids to clarify complex or technical reports.
  1. Keeps open and regular communication with team members.
  1. Communications with college leadership
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Bias for Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Completes work on time
  1. Displays high energy and enthusiasm on consistent basis.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Encourages risk taking and experimentation to improve performance
If [Participant Name] were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?

Establishing Focus/Direction

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Excellent at managing time.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Sets appropriate goals for employees.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Aligns the department's goals with the goals of the organization.
  1. Functions well under stress, deadlines, and/or significant workloads.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Has excellent influencing/negotiating skills.
  1. Communicates effectively with others.
  1. Attempts to persuade others rather than simply control them.
  1. Persuades others to consider alternative points of view.
  1. Seeks to obtain consensus or compromise.
  1. Ensures stakeholders are involved in the decision making process.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Analytical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Uses analytical techniques to assure that adequate resources are available to meet the needs of the department.
  1. Reviews contractual documents for clauses and specifications to ensure binding agreements are free from disputes.
  1. Recognizes patterns, draws logical conclusions, and makes recommendations for action.
  1. Identifies trends and patterns in data can lead to valuable insights and strategic decisions.
  1. Examines problems in depth and from multiple points of view.
  1. Organizes data in a way that simplifies its interpretation and comparisons.
If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is planful and organized.
  1. Takes a lot of pride in their work.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Responsible

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is a person you can trust.
  1. ...takes personal responsibility for results.
  1. Completes assigned work tasks.
  1. Acts as a resource without removing individual responsibility.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets high personal standards of performance.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she 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.