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Commitment to Result - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Commitment to Result:
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 To Result, 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
Edit this Survey
Would you like to edit this survey? Click here to begin.


Commitment To Result

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Committed to the team.
  1. Coordinates all department activities into a cohesive team effort.
  1. Encourages commitment in others to obtain results.
If [Participant Name] were to make improvements in Commitment To Result, 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. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
  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?

Bias for Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Displays high energy and enthusiasm on consistent basis.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Conveys a sense of urgency about addressing problems and opportunities
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. Maintains self-control when personally criticized.
  1. Aligns the department's goals with the goals of the organization.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Makes sure that employees understand how their work relates to organizational goals.
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. Prioritizes client issues to tackle the most pressing needs first.
  1. Manages client accounts with high degree of competence.
  1. Is committed to the success of the client.
  1. Persistent in solving client issues.
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. Conveys ideas confidently and succinctly.
  1. Approachable, dependable, and ready to assist when needed.
  1. Welcomes input and suggestions from others.
  1. Communicates concepts and ideas to others.
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. Adjusts plans to meet the needs of new constraints.
  1. Is open to new ideas and innovations.
  1. Adjusts plans and procedures.
  1. Adjusts plans as needed based on changing conditions.
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. Implements and uses performance measures.
  1. Has strong technical/computer skills.
  1. High attention to detail.
  1. Able to develop, justify and present a budget.
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. Addresses employee behavior problems effectively.
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to maintain high personal standards.
  1. Helps employees to understand responsibilities, authority, and expectations.
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. Gives constructive advice to other team members.
  1. Encourages others to share ideas to develop team cohesion
  1. Communicates a clear message that teamwork and collaboration are expected.
  1. Identifies and resolves conflicts within the team to increase team effectiveness
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. ...treats others with respect and dignity.
  1. Able to see issues from others' perspectives.
  1. Treats others with respect and dignity.
  1. Forms working relationships with employees from other departments.
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. Effective in communicating with others within the organization.
  1. Anticipates problems that may affect the department.
  1. Understands the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
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. Develops of the department's annual budget.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Develops budgets and plans for various programs and initiatives.
  1. Monitors spending.
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.