hr-survey.com

Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys measuring the ability to handle multiple responsibilities:
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.

Competencies Included:
Juggling Multiple Responsibilities, Action, Achievement, Excellence, Decision Making, Performance, Analytical, Regulatory/Compliance, Trustworthy, Coaching, Entrepreneurship, Fiscal Management
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


Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Can multi-task while performing all of their other responsibilities and activities.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Displays high energy and enthusiasm on consistent basis.
  1. Is not afraid to take corrective action when necessary.
  1. Does whatever it takes (within reason) to get the job done.
  1. Gets the job done.
  1. Makes effective decisions, even when under pressure.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Set high standards in their performance
  1. Systematically works to improve the organization
  1. Accepts setbacks and challenges as improvement opportunities
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes a lot of pride in their work.
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Can be counted on to add value wherever they are involved.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is able to make decisions quickly.
  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. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Has great overall performance
  1. ...Produce Quality
  1. Works effectively in the department.
  1. Listens and responds to issues and problems
  1. Shown significant improvement in job performance.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Analytical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Asks the "right" questions to size up or evaluate situations.
  1. Analyzes issues and reduces them to their component parts.
  1. Identifies the root cause of a problem.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Identifies problems and issues needing resolution.
If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Regulatory/Compliance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keeps informed of various regulations and procedures.
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Addresses issues quickly before they develop into major problems.
  1. Ensures regulations are followed as required.
  1. Understands and adheres to internal and external regulations.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Demonstrates congruence between statements and actions.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Works in a way that makes others want to work with her/him.
  1. Takes ownership, delivers on commitments
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Addresses employee behavior problems effectively.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Helps employees to maintain high personal standards.
  1. Develops the skills and capabilities of others.
  1. Conducts regular performance appraisals and feedback.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages risk taking for developing potential business opportunities.
  1. Able to adapt the department to changing business demands and climate.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Has a strategic awareness on how to promote the organization.
  1. Exhibits determination and passion in completion of goals.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Effective in using Company's resources.
  1. Monitors expenses and verifies the need for items purchased.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
If [Participant Name] were to make improvements in Fiscal Management, 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.