hr-survey.com

Feedback - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Feedback:
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.

Competencies Included:
Feedback, Attitude, Cultural Awareness, Project Management, Decision Making, Commitment To Result, Professional Development, Technical, Trustworthy, Co-worker Development, Vision
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.




Feedback

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
Always
Exhibits this
Competency
  1. Asks others for their ideas and opinions.
  1. Actively seeks feedback from others.
  1. Open to the suggestions of others.
  1. Seeks feedback to enhance performance.
  1. Accepts the views of others.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive work environment.
  1. Builds open and trusting relationships.
  1. Visibly supports and encourages diversity in style and background.
Please feel free to provide any comments to help explain your answers?

Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Encourages a work environment where individual differences are valued.
  1. Shows respect in daily interactions
  1. Values the opinions of diverse groups and individual.
  1. Treats others with dignity and respect.
  1. Recognizes and values individual and cultural differences.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
Always
Exhibits this
Competency
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Maintains costs and expenses within budget limits.
  1. Develops action items, workplans, timelines, and criteria for projects.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Asks for additional information when making critical decisions.
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Exercises good judgment by making sound and informed decisions.
  1. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Please feel free to provide any comments to help explain your answers?

Commitment To Result

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains persistence and dedication to achieving results.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Coordinates all department activities into a cohesive team effort.
  1. Able to focus on a task even when working alone.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Please feel free to provide any comments to help explain your answers?

Professional Development

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Allows employees to fully participate in employee training and professional development.
  1. Keep themselves up-to-date of technical/professional issues
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Seeks opportunities for continuous learning.
  1. Contributing fully to the extent of their skills
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Competency
  1. Knows how to produce high quality products/work.
  1. Seeks information from others as needed.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Willingly shares his/her technical expertise; sought out as resource by others
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Takes care to maintain confidential information.
  1. Builds and maintains the trust of others.
  1. Demonstrates congruence between statements and actions.
  1. Consistently keeps commitments.
Please feel free to provide any comments to help explain your answers?

Co-worker Development

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Provides ongoing feedback to co-workers on their development progress
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Exhibits this
Competency
  1. Creates a common vision for others.
  1. Communicates the vision and strategy of [Company]
  1. Persuades others to follow the Company's vision.
  1. Works to support the strategy of [Company]
  1. Clearly articulates a vision for his/her work and inspires others to support it
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.