Company- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Company:
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:
Company, Bias for Action, Punctuality, Project Management, Decision Making, Time Management, Commitment To Result, Co-worker Development, Teamwork
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


Company

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Follows existing procedures and processes.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the use of [Company] products and services.
  1. Attends [Company] gatherings and social events.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
If [Participant Name] were to make improvements in Company, 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 and utilizes opportunities for continuous learning and self-development.
  1. Completes work on time
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Motivates others to achieve or exceed goals
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
If [Participant Name] were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?

Punctuality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Starts the workday when scheduled.
  1. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.
  1. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Assesses the ability of the organization to handle the project.
  1. Understands the budget constraints for the project.
  1. Changes the implementation of specific phases of the project to mitigate certain risks.
  1. Responds quickly and appropriately to unforeseen problems.
  1. Identifies critical requirements for each phase of 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. Is firm in their decision and not easily influenced by the whims of others.
  1. Stays focused on the main objective when making decisions.
  1. Understands what factors are important for deciding if a decision is "worth it"?
  1. Formulates imaginative decisions.
  1. Gathers information before making a 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. Prioritizes critical tasks for the beginning of the shift.
  1. Provides accurate estimates for the amount of time needed to accomplish certain tasks.
  1. Avoids distractions from personal phone or other personal devices.
  1. Delegates as many repetitive tasks as possible to maximize the amount of work being done.
  1. Uses scripts or software tools to automate computer centered processes.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Commitment To Result

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Committed to the team.
  1. Encourages commitment in others to obtain results.
  1. Maintains persistence and dedication to achieving results.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Takes immediate action toward goals.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Co-worker Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Works to identify root causes of performance problems
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Helps the team exercise good judgment by making sound and informed decisions.
  1. Takes the time to listen to the team's ideas.
  1. Helps the team bounce back from obstacles to progress.
  1. Works with other team members on the project.
  1. Gives constructive advice to other team members.
If [Participant Name] were to make improvements in Teamwork, 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.