hr-survey.com

Empowering Others - 360 Degree Feedback Survey Sample #12





360 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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.
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Empowering Others

  • Trusts employees with important responsibilities.
  • Gives responsibility for making important decisions to employees.
  • Allows individuals to be responsible for their decisions.
  • Acknowledges and appreciates employees for their proactive decision-making.
  • Avoids micromanaging their employees.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Decision Making

  • Makes decisions that support the department's goals and objectives.
  • Stays focused on the main objective when making decisions.
  • Carefully evaluates information before making an important decision.
  • Performs a cost/benefit analysis before making a decision.
  • Understands what factors are important for deciding if a decision is "worth it"?
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Juggling Multiple Responsibilities

  • Uses a scheduler/planner to keep tasks organized and on time.
  • Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  • Builds in extra time in the schedule for unplanned events/occurrences.
  • Switches attention to more urgent tasks when necessary.
  • Prioritizes tasks for efficiency.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Organizational Fluency

  • Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  • Able to explain departmental policies and procedures to others.
  • Gets things done through the department.
  • Understands departmental policies and procedures.
  • Understands the current organizational culture.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Cultural Awareness

  • Engages with individuals that have different cultural backgrounds.
  • Seeks clarification to avoid misunderstandings.
  • Acknowledges their own biases in cultural interactions.
  • Is willing to include individuals with different cultural backgrounds on the team.
  • Understands how their own cultural background can impact the way they communicate and interact with others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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