hr-survey.com

Goals - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Goals:
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.

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.





Goals

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. Achieves established goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that team members have a clear idea of our group's goals.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Exhibits this
Competency
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Competency
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Competency
  1. Is concerned about process safety management.
  1. Maintains open communication with other departments.
  1. Responds appropriately to unexplained or unanticipated events.
  1. Is aware of process safety management.
  1. Committed to implementing rules and procedures to minimize risk.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

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. Offers training to employees to ensure they are complying with regulations.
  1. Ensures the company meets legal requirements/standards regarding employees.
  1. Is aware of the documents and reports needed to maintain compliance with regulations.
  1. Interacts with auditors and regulators on a professional basis.
  1. Is professional and courteous in interactions with auditors and regulators.
Please feel free to provide any comments to help explain your answers?

Customer Focus

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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  1. Acts with integrity in all customer interactions.
  1. Consistently models positive customer service attitudes.
  1. Sets an example for excellent customer relations.
  1. Creates customized solutions for the customer.
  1. Meets with customers on a regular basis.
Please feel free to provide any comments to help explain your answers?

Self Management

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. Analyzes interpersonal problems instead of reacting to them.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Steps away from a situation to process appropriate response.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Please feel free to provide any comments to help explain your answers?

Supervisory Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Competency
  1. Is aware of the unique strengths of each employee.
  1. Maintains an even temper in stressful situations.
  1. Shows consistency between what they say and do.
  1. Schedules follow up meetings if employee's performance is below average.
  1. Maintains the confidence and trust of employees.
Please feel free to provide any comments to help explain your answers?

Performance

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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Exhibits this
Competency
  1. Able to organize work.
  1. ...Overall Performance
  1. Effective in performing his/her job.
  1. Works well in this position.
  1. Works effectively in the department.
Please feel free to provide any comments to help explain your answers?

Problem Solving

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. Implements effective solutions to critical problems.
  1. Solves problems using logic and insight.
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Effective in solving problems.
  1. Understands the root causes of problems.
Please feel free to provide any comments to help explain your answers?

Innovation

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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Suggests new ideas at meetings.
  1. Offers constructive improvements to existing systems.
  1. Searches for opportunities and innovative ways to improve the organization.
  1. Creates improved methods or solutions for meeting goals and objectives.
  1. Creates a safe environment for idea-sharing.
Please feel free to provide any comments to help explain your answers?

Empowering Others

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. Set clear goals for assignments.
  1. Gives employees input into the decision making process.
  1. Lets employees complete tasks according to their methods.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
  1. Lets employees make their own decisions.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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. Periodically assesses the current market environment.
  1. Considers impact of actions on other areas of the organization.
  1. Creates strategic plans that conform with regulations and industry guidelines.
  1. Views problems from a business perspective, opportunity, investment, risks, and anticipated results
  1. Understands our competitors and their strengths and weaknesses.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

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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Exhibits this
Competency
  1. Implements long-term solutions to problems.
  1. Analyzes unique issues or problems impacting the Company.
  1. Maintains knowledge of current trends in the industry.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Formulates policies and strategies for addressing the Company's important challenges.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
Usually
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Competency
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Exhibits this
Competency
  1. Gets things done through the department.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Adept at navigating within the culture of the department.
  1. Understands the current organizational culture.
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.