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Establishing Focus/Direction - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Establishing Focus/Direction:
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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Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Schedules adequate time for high-priority items.
  1. Develops frameworks and systems to guide the organization toward achieving its goals.
  1. Helps employees stay committed to completing group tasks.
  1. Works with focus and direction in the face of obstacles.
  1. Breaks down larger tasks into smaller ones to help employees maintain focus.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Responds promptly to inquiries from regulatory bodies.
  1. Ensures regulations are followed as required.
  1. Implements strategies to ensure compliance.
  1. Reviews operations and work flows to ensure compliance with standards.
  1. Follows all safety regulations and procedures.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Supports the successes of other employees.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Is open to receiving feedback.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Can easily explain the foundations (justification) for the partnership.
  1. Develops important industry contacts to facilitate business goals.
  1. Establishes regular check-ins to ensure alignment and address any emerging issues.
  1. Utilizes partners' key strengths to create mutual advantages.
  1. Builds alliances with others in the company.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Ensures that all employees feel valued, respected, and appreciated for their contributions.
  1. Offers recognition to peers and colleagues.
  1. Recognizes and rewards people based on their job performance.
  1. Recognizes employees that participate on important teams.
  1. Recognizes the abilities and skills of self and others


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Is able to see issues from others' perspectives.
  1. Works across boundaries within the organization.


Organizational Fluency

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Gets things done through the department.
  1. Able to explain departmental policies and procedures to others.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Understands departmental policies and procedures.
  1. Understands the current organizational culture.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Sets the example for team on importance of cultural awareness.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Exemplifies the skills of a global worker.



  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.