hr-survey.com

Empowering Others- 360 Degree Feedback Survey Sample #3





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

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.





Empowering Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets clear goals for others to accomplish.
  1. Expresses confidence in the abilities of others.
  1. Ensures employees understand what is being assigned to them.
  1. Gives responsibility for making important decisions to employees.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Please feel free to provide any comments to help explain your answers?

Recognition

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Recognizes individuals for a specific outstanding achievement.
  1. Makes people around them feel appreciated and valued.
  1. Says "thank you" to show appreciation for work of others.
  1. Recognizes the abilities and skills of self and others
  1. Recognizes team members who offer a significant contribution to a project.
Please feel free to provide any comments to help explain your answers?

Flexibility

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages others to adopt new procedures.
  1. Identifies new opportunities to achieve goals
  1. Can handle changes without complaining.
  1. Able to adapt to new situations.
  1. Acts decisively in frequently changing and uncertain environment.
Please feel free to provide any comments to help explain your answers?

Accountability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Takes responsibility for results.
  1. Defines roles, rights, and responsibilities of employees.
  1. Creates a consistent process for prioritizing work.
  1. Accepts accountability for their actions and results.
  1. Holds team accountable to meeting goals.
Please feel free to provide any comments to help explain your answers?

Continual Learning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Pursues professional development opportunities when they arise.
  1. Improves on their skill sets.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Takes the initiative to learn new skills.
  1. Participates in regular training offered.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
  1. Delegate tasks effectively
Please feel free to provide any comments to help explain your answers?

Innovation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Suggests new ideas at meetings.
  1. Solves problems with insight and understanding.
  1. Searches for opportunities and innovative ways to improve the organization.
  1. Offers constructive improvements to existing systems.
  1. Creates a safe environment for idea-sharing.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets high personal standards of performance.
  1. Sets a good example
  1. Completes assigned work tasks.
  1. Behavior is ethical and honest.
  1. Holds herself / himself accountable to goals / objectives
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Leads employees in new directions.
  1. Creates a positive vision of the future for the Company.
  1. Persuades others to follow the Company's vision.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Communicates the vision and strategy of [Company]
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.