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Continual Improvement - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Continual Improvement:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. 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 over the last 12 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 combined with the responses received from others and a report will be generated for you 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:
Continual Improvement, Establishing Focus/Direction, Persuasion and Influence, Analytical, Adaptability, Excellence, Customer Focus, Developing Others, Conflict Management, Fiscal Management
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
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Continual Improvement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You look for ways to expand current job responsibilities.
  1. I foster a culture of open communication and continuous improvement.
  1. You analyze processes to determine areas for improvement.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You promote training and development opportunities to enhance job performance.
If you were to make improvements in Continual Improvement, what are your suggestions for how you can improve this?

Establishing Focus/Direction

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I monitor the workload balance and impact on employees.
  1. You align the department's goals with the goals of the organization.
  1. I provide strong direction to new employees and recent transfers.
  1. I set the focus on improving the organization's products and services.
  1. You balance team workload by redistributing tasks when capacity or availability changes.
If you were to make improvements in Establishing Focus/Direction, what are your suggestions for how you can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I know how to win an argument.
  1. You describe the issue in terms of the customer's experience to help create a mental image for employees to connect emotionally to issues facing customers.
  1. You influence others to complete tasks and goals.
  1. You help employees shift perspectives and frame information in a new way.
  1. You use values-based language to inspire alignment and a shared sense of purpose among team members.
If you were to make improvements in Persuasion and Influence, what are your suggestions for how you can improve this?

Analytical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I optimize limited resources, such as time and money, by finding the most efficient solutions to problems.
  1. You increase understanding through the cautious application of logic and research.
  1. You identify deviations from stated goals and objectives.
  1. I look for patterns, trends, and relationships within the data.
  1. I synthesize data from multiple sources to draw logical conclusions.
If you were to make improvements in Analytical, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You demonstrate willingness to change to meet the needs of the current circumstances.
  1. You are able to adapt to new environments.
  1. You easily accept new responsibilities.
  1. I ensure employees in the department are train on the latest technology.
  1. You adjust plans to meet the needs of new constraints.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You keep yourself and others focused on constant improvement.
  1. You can be counted on to add value wherever you are involved.
  1. You are planful and organized.
  1. You produce high quality work.
  1. You take a lot of pride in your work.
If you were to make improvements in Excellence, what are your suggestions for how you can improve this?

Customer Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You celebrate customer win and express appreciation for their loyalty or feedback.
  1. I consistently meet customer's needs.
  1. You ensure customers' expectations are met or exceeded.
  1. I regularly received positive feedback from customers.
  1. I systematically gather and analyze customer feedback to identify service gaps or improvement areas.
If you were to make improvements in Customer Focus, what are your suggestions for how you can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You provide constructive feedback to others.
  1. You try to ensure employees are ready to move to the next level.
  1. You recognize and celebrates accomplishments of others.
  1. You are open to receiving feedback.
  1. You assess employees' developmental needs.
If you were to make improvements in Developing Others, what are your suggestions for how you can improve this?

Conflict Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I use informal and formal feedback loops to detect brewing tensions and intervene constructively.
  1. I steer the process towards compromise and conflict resolution.
  1. I actively engage both parties to voluntarily collaborate and resolve their differences.
  1. I promote employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
  1. You persuade others to accept ideas that may be difficult and uncomfortable.
If you were to make improvements in Conflict Management, what are your suggestions for how you can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. You provide budgeting and accounting support to the Company.
  1. You are effective in using company's resources.
  1. You develop budgets and plans for various programs and initiatives.
  1. You develop of the department's annual budget.
If you were to make improvements in Fiscal Management, what are your suggestions for how you 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.