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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. Makes sure that employees understand and identify with the team's mission.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Maintains self-control when personally criticized.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Helps guide employees with prioritizing tasks.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
  1. Provides documents and reports as needed to maintain compliance with laws.
  1. Establishes clear communication channels and lines of communication for compliance related issues.
  1. Observes, monitors and coordinates compliance activities.
  1. Performs regular compliance audits.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Assesses employees' developmental needs.
  1. Recognizes and celebrates accomplishments of others.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Provides constructive feedback to others.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Finds common ground with a wide range of stakeholders.
  1. Supports a partnering/networking culture.
  1. Is aware of the location/availability of resources within the network.
  1. Seeks an understanding of diverse functions within the Company.
  1. Exchanges ideas, resources, plans, and technologies with colleagues.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Recognizes the abilities and skills of self and others
  1. Finds opportunities to recognize others.
  1. Recognizes team members who offer a significant contribution to a project.
  1. Readily shares credit and gives others opportunity for visibility.
  1. Says "thank you" to show appreciation for work of others.


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Includes others in the decision making processes.
  1. ...treats others with respect and dignity.
  1. Works across boundaries within the organization.
  1. Forms working relationships with employees from other departments.
  1. Is able to see issues from others' perspectives.


Organizational Fluency

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Adept at navigating within the culture of the department.
  1. Effective in communicating with others within the organization.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
  1. Understands the current organizational culture.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Forms strong client relationships with international partners.
  1. Engages in problem solving with individuals outside of the country.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities



  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.