Communication - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Communication:
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)
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:
Communication Skills, Action, Continual Learning, Project Management, Decision Making, Time Management, Technology Use/Management, Interpersonal Skills, Managing Risk, Client Focus
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


Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Mentors others on enhancing their written communication.
  1. Maintains an open-door policy to be available for answers and guidance when needed.
  1. Communicates effectively with colleagues and customers
  1. Delivers clear and concise instructions.
  1. Reports progress on goals to the supervisor.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Effectively makes decisions
  1. Acts immediately instead of waiting for someone else to solve the issue.
  1. Completes tasks on time in spite of delays in the process.
  1. Takes corrective action when necessary.
  1. Is ambitious when working on the project.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Builds on their strengths while addressing their weaknesses.
  1. Sets relevant learning objectives and goals.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Views setbacks as opportunities to learn from.
  1. Takes charge of their training and skills enhancement.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Determines the correct order for the phases of the project.
  1. Determines the project strategy for implementation.
  1. Meets with stakeholders to determine the requirements for the project.
  1. Identifies potential risks that could pose challenges to the project timeline.
  1. Locates the equipment and supplies needed for the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Weighs the pros and cons of decisions.
  1. Comes across as confident, decisive, and resilient
  1. Willing to change their strategy if new information arises.
  1. Receptive to new ideas from others when making decisions.
  1. Exercises good judgment by making sound and informed decisions.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Time Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Manages time effectively by focusing efforts on high value tasks.
  1. Avoids delays by working quickly.
  1. Understands the importance of being on time.
  1. Delegates routine tasks to team members, allowing the manager to concentrate on more strategic or complex responsibilities.
  1. Prioritizes tasks to identify immediate and long-term objectives.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands and is committed to implementing new technologies.
  1. Supports technical training and development of employees.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Proficient in the use of technical systems and processes.
  1. Applies complex rules and regulations to maintain optimal system performance.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Applies appropriate communication techniques to the situation.
  1. Demonstrates willingness to work with others.
  1. Honesty and integrity are core tenets of interpersonal relationships.
  1. Understands the core issues of conversations.
  1. Is honest about making mistakes and willing to fix them.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Managing Risk

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Uses risk management to remain in compliance with regulations.
  1. Seeks to add value to the company by embracing risk.
  1. Attends risk management seminars and conferences.
  1. Accurately perceives potential risks in the workplace.
  1. Has the knowledge and skills to accurately identify risks in the workplace.
If [Participant Name] were to make improvements in Managing Risk, 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 based on urgency.
  1. Is committed to the success of the client.
  1. Creates an environment that enables clients to receive excellent service.
  1. Makes sure client needs are understood by the team members.
  1. Has excellent communication with clients.
If [Participant Name] were to make improvements in Client Focus, 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.