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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Competency
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Follows existing procedures and processes.
  1. Impresses upon others the important aspects of [Company].
  1. Attends [Company] gatherings and social events.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
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. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Protects the integrity and confidentiality of information
  1. Does what was promised.
  1. Maintains strong relationships with others.
  1. Follows tasks to completion.
Please feel free to provide any comments to help explain your answers?

Professional Development

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Competency
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  1. Encourages employees to take courses relevant to their job.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for continuous learning.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Please feel free to provide any comments to help explain your answers?

Managing Performance

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  1. Sets the Objectives and Key Results (OKRs) required for the position.
  1. Sets and maintains high standards for self and others.
  1. Holds employees accountable for meeting performance expectations.
  1. Requires employees to participate in additional job training as part of a remediation program.
  1. Ensures employees are trained in areas where performance may be lacking.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
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  1. Develops a good rapport with others.
  1. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
  1. Communicates effectively with others.
  1. Attempts to persuade others rather than simply control them.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
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  1. Decides which long-term goals should be met.
  1. Learns from previous bad decisions and rarely repeats them.
  1. Identifies parameters impacting the decision.
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Is able to learn from mistakes.
Please feel free to provide any comments to help explain your answers?

Initiative

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  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Inspires others to perform above expectations.
  1. Engages with new customers immediately.
  1. Capitalizes on opportunities as they become available.
  1. Takes charge when there is a crisis.
Please feel free to provide any comments to help explain your answers?

Achievement

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  1. Helps others to improve or meet standards of performance.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Demonstrates improvement in performance.
  1. Takes calculated risks.
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
Please feel free to provide any comments to help explain your answers?

Safety

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  1. Encourages others to work safely.
  1. Points out behaviors in others that may be unsafe.
  1. Ensures that all supervisors are aware of regulatory and compliance measures.
  1. Identifies and addresses safety needs.
  1. Creates accurate and effective measures of safety.
Please feel free to provide any comments to help explain your answers?

Recognition

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  1. Compliments other people when they do good work
  1. Recognizes individuals for a specific outstanding achievement.
  1. Makes people around them feel appreciated and valued.
  1. Recognizes the abilities and skills of self and others
  1. Is sincerely interested in the suggestions of co-workers
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.