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.

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. Maintains an open-door policy to be available for answers and guidance when needed.
  1. Keeps open and regular communication with others.
  1. Accurately attends to/understands ideas which are exchanged.
  1. Conveys ideas confidently and succinctly.
  1. Delivers effective presentations.
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. Rapidly adapts to changes in the situation.
  1. Works across organizational lines and boundaries to attain goals.
  1. Is proactive in addressing the needs of the department.
  1. Decides to act rather than remain passive.
  1. Acts immediately instead of waiting for someone else to solve the issue.
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. Pursues self-improvement through continual learning.
  1. Views setbacks as opportunities to learn from.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Shares best practices with others and learns from others.
  1. Is open to new ideas and concepts.
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. Locates the financial resources to budget for the project.
  1. Identifies the project time and budget constraints.
  1. Uses appropriate software tools to assist in managing the project.
  1. Interacts with stakeholders regarding the outcomes required by the project.
  1. Investigates potential risks of different courses of action.
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. Identifies parameters impacting the decision.
  1. Is aware of the impact of decisions and informs others about potential outcomes.
  1. Determines the costs and potential benefits of decisions.
  1. Determines constraints that may impact what decisions are acceptable.
  1. Carefully evaluates information before making an important decision.
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. Uses scripts or software tools to automate computer centered processes.
  1. Avoids distractions from personal phone or other personal devices.
  1. Tackles major issues head on to reduce the amount of time spent on them.
  1. Uses time efficiently to achieve higher productivity.
  1. Combines tasks to save time.
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. Supports technical training and development of employees.
  1. Adopts the implementation of new technology into the workplace.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Understands and is committed to implementing new technologies.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
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. Honesty and integrity are core tenets of interpersonal relationships.
  1. Easily approachable.
  1. Considers the other individual's point of view.
  1. Gives good advice and suggestions to coworkers.
  1. Sees values in the diversity of individuals on the team.
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 ensure smooth operations.
  1. Monitors enterprise risk management activities for their impact and effectiveness on mitigating risks.
  1. Takes calculated risks by effectively recognizing and managing them.
  1. Bases decisions on patterns found in fluid/changing information.
  1. Prioritizes the risks to determine the most pressing needs.
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. Is honest in all communication with the clients.
  1. Demonstrates a commitment to client focus.
  1. Anticipates and proactively resolves issues that the client may face.
  1. Obtains feedback to ensure client needs are being met.
  1. Looks for opportunities that have a positive impact on 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.