Entrepreneurship- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Entrepreneurship:
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.

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


Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Has a strategic awareness on how to promote the organization.
  1. Is comfortable operating in an environment of uncertainty.
  1. Exhibits determination and passion in completion of goals.
  1. Finds unique ways to go around barriers to success.
  1. Excellent at managing relationships with stakeholders.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Creates a positive vision of the future for the Company.
  1. Creates a common vision for others.
  1. Demonstrates consistency between words and actions
  1. Persuades others to follow the Company's vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Addresses issues of key importance to stakeholders.
  1. Listens to others' points of view with an open mind
  1. Able to demonstrate persuasiveness in pursuit of objectives.
  1. Is an effective communicator
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Fosters an environment built upon trust.
  1. Does what was promised.
  1. Fosters a high standard of ethics and integrity.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Protects the integrity and confidentiality of information
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is gracious and professional in their interactions with others.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Contributes to a positive work environment.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive and fun work environment.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is able to control their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to express themselves clearly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to manage their own emotions.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is ready to offer help
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates a safe environment for idea-sharing.
  1. Offers constructive improvements to existing systems.
  1. Fosters a creative and innovative work environment.
  1. Suggests new ideas at meetings.
  1. Finds creative ways to get things done with limited resources.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Allows employees to participate in the workload of the department.
  1. Lets employees make their own decisions.
  1. Provides opportunities for employee development and growth.
  1. Enables team members to make their own decisions on the project.
  1. Gives employees autonomy to complete tasks on their own.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works effectively with people from other departments.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Is able to see issues from others' perspectives.
  1. ...treats others with respect and dignity.
  1. Helpful
If [Participant Name] were to make improvements in Others, 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.