hr-survey.com

Empowering Others- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Empowering Others:
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:
Empowering Others, Excellence, Integrity, Professional Development, Administrative Skill, Innovation, Commitment To Result, Safety, Trustworthy, Planning
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


Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gives employees autonomy to complete tasks on their own.
  1. Gives responsibility for making important decisions to employees.
  1. Recognizes the accomplishments of employees when they complete important assignments.
  1. Set clear goals for assignments.
  1. Lets employees complete tasks according to their methods.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Can be counted on to add value wherever they are involved.
  1. Produces high quality work.
  1. Demonstrates the analytical skills to do their job.
  1. Is planful and organized.
  1. Takes a lot of pride in their work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Protects the integrity and confidentiality of information
  1. Does what was promised.
  1. Follows tasks to completion.
  1. Demonstrates honesty and truthfulness at all times.
  1. Fosters a high standard of ethics and integrity.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Professional Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks opportunities for continuous learning.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Seeks opportunities for professional development.
  1. Allows employees to fully participate in employee training and professional development.
  1. Encourages employees to take courses relevant to their job.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Enthusiastic about taking on challenging projects.
  1. Strong organizational skills to keep the workspace and department in order
  1. Accurately implements contract provisions.
  1. Implements and uses performance measures.
  1. Completes reports on-time.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops new products and services.
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Creates a safe environment for idea-sharing.
  1. Implements best practices within the department.
  1. Takes risks to advance important ideas.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Commitment To Result

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages commitment in others to obtain results.
  1. Coordinates all department activities into a cohesive team effort.
  1. Maintains persistence and dedication to achieving results.
  1. Committed to the team.
  1. Able to focus on a task even when working alone.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Safety

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Participates in safety training when offered.
  1. Points out behaviors in others that may be unsafe.
  1. Committed to safety in the workplace.
  1. Ensures compliance with safety regulations.
  1. Encourages others to attend safety training.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Builds and maintains the trust of others.
  1. Works in a way that makes others want to work with her/him.
  1. Takes ownership, delivers on commitments
  1. Is trustworthy; is someone I can trust.
  1. Demonstrates a sense of responsibility and commitment to public trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Planning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates a timeline for events and monitors progress.
  1. Purchases equipment and software that will be needed in the future.
  1. Develops plans used to accomplish urgent or critical tasks.
  1. Conducts regular assessments of the project status to ensure adherence to the set schedule.
  1. Develops an effective plan to guide the project.
If [Participant Name] were to make improvements in Planning, 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.