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Commitment - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Commitment:
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:
Commitment, Excellence, Bias for Action, Establishing Focus/Direction, Client Focus, Communication Skills, Adaptability, Administrative Skill, Coaching, Teamwork, Others, Organizational Fluency, Fiscal Management
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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Commitment

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Secures commitment from team members.
  1. Able to focus on a task even when working alone.
  1. Uses strategies to accomplish objectives.
  1. Instills shared values that encourage employees to channel their efforts into achieving organizational goals.
If [Participant Name] were to make improvements in Commitment, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.
  1. Produces high quality work.
  1. Takes a lot of pride in their work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Bias for Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks to enhance processes and procedures, even if only a minor change, to make them more efficient.
  1. Completes work on time
  1. Efficiently manages time by addressing small tasks promptly rather than letting them pile up.
  1. Communicates clear goals, expectations, and timelines to ensure everyone is aligned and working towards the same objectives.
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. Understands the strengths and needs of each employee in the department.
  1. Reviews organizational conditions to uncover strategic opportunities and mitigate potential threats.
  1. Seeks to enhance their understanding of the department's dynamics to better determine the needs of the department.
  1. Regularly checks in to ensure the team is on track.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?

Client Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Thoroughly understands the needs of the client.
  1. Puts client's needs first.
  1. Able to handle difficult clients.
  1. Focuses on providing excellent client service.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Open to receiving feedback from others.
  1. Summarizes the question to verify comprehension.
  1. Shares important information with others.
  1. Considers the audience in how the communication is presented.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Responsive to the needs of others.
  1. Changes direction of projects if needed to accommodate new criteria or constraints.
  1. Handles unexpected events without a loss of productivity.
  1. Able to quickly learn new ways of performing their job.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Plans for the completion of projects by allocating appropriate physical and personnel resources.
  1. Identifies complex problems and reviews related information to develop and evaluate options and implement solutions.
  1. Completes reports on-time.
  1. Implements company records retention policies.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands and respects the employee's unique perspective and challenges.
  1. Asks questions to help employees see the situation in a new light.
  1. Helps individuals explore their strengths, aspirations, and areas for growth.
  1. Celebrates small achievements to build motivation and confidence.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Builds strong relationships with team members.
  1. Shares pertinent information with all members of the team.
  1. Effective team player
  1. Asks other team members to share their opinions.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Helpful
  1. ...treats others with respect and dignity.
  1. Treats others with respect and dignity.
  1. Includes others in the decision making processes.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

Organizational Fluency

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Able to use corporate politics to advance department objectives.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Understands departmental policies and procedures.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keeps excellent records for financial transparency.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Provides budgeting and accounting support to the Company.
If [Participant Name] were to make improvements in Fiscal Management, 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.