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Employee_Relations- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Employee Relations:
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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



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Employee Relations

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses employee relations practices reflecting fairness and equity across all levels.
  1. Shows fairness and respect in their interactions with employees.
  1. Promptly reports workplace injuries and follows proper incident protocols.
  1. Gives employees due process in the event disciplinary actions are taken.
  1. Fosters a culture where disagreements are addressed respectfully and resolved collaboratively.
  1. Has a mutual trust and respect for employees.
  1. Creates a good working relationship between management and employee representatives.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Assigns tasks and responsibilities and holds employees accountable for actions.
  1. Administers the performance rewards program in a fair and equitable manner.
  1. Makes sure the team's goals are met.
  1. Assesses employee performance against defined standards.
  1. Initiates a performance improvement plan for underperforming subordinates.
  1. Conducts objectives and key results (OKR) assessments on a quarterly basis.
  1. Ensures employees are accountable for meeting OKRs.


Persuasion and Influence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is successful in describing and communicating an image of the problem.
  1. Uses persuasive dialogue to redirect unproductive conflict into collaborative problem-solving.
  1. Is aware of how messages may be received and interpreted by individuals.
  1. Balances assertiveness and collaboration to reach outcomes that align with both organizational priorities and stakeholder interests.
  1. Is viewed as authoritative, professional, and experienced.
  1. Champions change by framing it as an opportunity to lead, not just adapt.
  1. Confronts individuals with information about their beliefs and values.


Analytical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes reasonable decisions about the importance of different sources of information.
  1. Ensures that information is current and up-to-date.
  1. Meticulously records and maintains logs of observations/measurements.
  1. Is well-versed in fundamental research concepts.
  1. Looks at problems from different perspectives and viewpoints.
  1. Implements a variety of data gathering techniques.
  1. Validates the accuracy of data collected.


Clarity

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Clearly explains responsibilities to individuals.
  1. Avoids creating ambiguity or mixed messages.
  1. Writes clear job descriptions for positions in the organization.
  1. Clearly defines work objectives for employees.
  1. Maintains clarity in goals and objectives.
  1. Checks details thoroughly.


Excellence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Takes a lot of pride in their work.
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
  1. Demonstrates the analytical skills to do their job.


Client Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Exceeds expectations of the clients.
  1. Creates innovative solutions for the clients.
  1. Provides excellent service to clients.
  1. Ensures client commitments and requirements are met or exceeded
  1. Helps others in responding to client needs.
  1. Responds to feedback from clients.
  1. Focuses on the unique needs of each client.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies opportunities for innovation by watching how employees adapt tools, processes, or customer interactions.
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.
  1. Identifies root causes of problems.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Sets strategic objectives to be achieved.
  1. Recognizes unspoken concerns or morale issues through body language, tone, and team interactions.
  1. Notices inefficiencies or bottlenecks in workflows before they escalate into larger issues.



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






  2. Strengths


  3. Areas for Development


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