Company- 360 Degree Feedback Survey Sample #3





Competencies Included:
Company, Integrity, Professional Development, Managing Performance, Persuasion and Influence, Decision Making, Initiative, Achievement, Safety, Recognition
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

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

Please ensure that your submission is made between . The survey will only be available during these dates.






Company

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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  1. Follows existing procedures and processes.
  1. Understands the use of [Company] products and services.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Attends [Company] gatherings and social events.
  1. Understands the "basics" as to how [Company] functions/operates.
Please feel free to provide any comments to help explain your answers?

Integrity

Does Not
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Competency
Seldom
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  1. Fosters a high standard of ethics and integrity.
  1. Develops trust and confidence from others.
  1. Demonstrates sincerity in actions with others.
  1. Fosters an environment built upon trust.
  1. Protects the integrity and confidentiality of information
Please feel free to provide any comments to help explain your answers?

Professional Development

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  1. Contributing fully to the extent of their skills
  1. Encourages employees to take courses relevant to their job.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Seeks opportunities for professional development.
  1. Allows employees to fully participate in employee training and professional development.
Please feel free to provide any comments to help explain your answers?

Managing Performance

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  1. Identifies the Key Performance Indicators (KPIs) for the position.
  1. Recognizes team members when they contribute significantly to the team.
  1. Administers the performance rewards program in a fair and equitable manner.
  1. Places employees on probation if they fail to meet minimum performance standards.
  1. Monitors progress to ensure performance goals are being met.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

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  1. Develops a good rapport with others.
  1. Ensures stakeholders are involved in the decision making process.
  1. Attempts to persuade others rather than simply control them.
  1. Has excellent influencing/negotiating skills.
  1. Seeks to obtain consensus or compromise.
Please feel free to provide any comments to help explain your answers?

Decision Making

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  1. Is able to learn from mistakes.
  1. Outlines the parameters influencing the decision making process.
  1. Defines what constraints must be met for the decision making process.
  1. Decides which short- and long-term goals should be created.
  1. Understands what factors are important for deciding if a decision is "worth it"?
Please feel free to provide any comments to help explain your answers?

Initiative

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  1. Capitalizes on opportunities as they become available.
  1. Creates solutions to problems as soon as an incident occurs.
  1. Updates the documentation as soon as the situation changes.
  1. Takes action without being asked.
  1. Acts with urgency when time is limited.
Please feel free to provide any comments to help explain your answers?

Achievement

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  1. Completed required training and certification.
  1. Highly motivated to achieve or exceed performance standards.
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
  1. Takes calculated risks to achieve significant rewards.
  1. Strives to meet goals and objectives.
Please feel free to provide any comments to help explain your answers?

Safety

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  1. Is aware of OSHA safety guidelines.
  1. Creates accurate and effective measures of safety.
  1. Works to implement corrective safety measures.
  1. Encourages others to attend safety training.
  1. Identifies and addresses safety needs.
Please feel free to provide any comments to help explain your answers?

Recognition

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  1. Is sincerely interested in the suggestions of co-workers
  1. Offers recognition in a timely manner.
  1. Recognizes the abilities and skills of self and others
  1. Recognizes team members who offer a significant contribution to a project.
  1. Finds opportunities to recognize others.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.