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Managing Performance - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Managing Performance:
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)
Instructions for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. 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 over the last 12 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 combined with the responses received from others and a report will be generated for you 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:
Managing Performance, Performance, Administrative Skill, Action, Juggling Multiple Responsibilities, Excellence, Empowering Others, Teamwork, Company, Vision
Sample Result Document:
Sample Results
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
Edit this Survey
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Managing Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You present performance feedback in a clear and concise manner to address performance issues.
  1. I participate in training as needed to improve job performance.
  1. I determine the operational standards needed for performance of the job.
  1. You implement remediation plans with follow up after 3 months.
  1. You acknowledge employee contributions that support the bottom line.
If you were to make improvements in Managing Performance, what are your suggestions for how you can improve this?

Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You work well in this position.
  1. You have great overall performance
  1. You are able to organize work.
  1. You shown significant improvement in job performance.
  1. You work effectively in the department.
If you were to make improvements in Performance, what are your suggestions for how you can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You have strong organizational skills to keep the workspace and department in order
  1. You accurately implement contract provisions.
  1. You are able to develop, justify and present a budget.
  1. You are enthusiastic about taking on challenging projects.
  1. You take responsibility for decisions.
If you were to make improvements in Administrative Skill, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I am decisive when making decisions.
  1. I am the first to volunteer for assignments.
  1. I am proactive in addressing the needs of the department.
  1. You change course to meet the needs of a new situation.
  1. You display high energy and enthusiasm on consistent basis.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. You are aware of the deadlines for specific tasks/assignments.
  1. You switch attention to more urgent tasks when necessary.
  1. You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
  1. You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You produce high quality work.
  1. You keep yourself and others focused on constant improvement.
  1. You take a lot of pride in your work.
  1. You demonstrate the functional or technical skills necessary to do your job.
  1. You demonstrate the analytical skills to do your job.
If you were to make improvements in Excellence, what are your suggestions for how you can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I motivate and encourage employees to be successful in their jobs.
  1. I encourage independent, original thinking and creative problem-solving.
  1. You provide opportunities for employee development and growth.
  1. You are willing to share in the decision making process.
  1. You permit employees to take training to become more independent.
If you were to make improvements in Empowering Others, what are your suggestions for how you can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You coach team on how to solve problems, plan, and meet organizational goals and objectives.
  1. You encourage teamwork and collaboration.
  1. I build strong relationships with team members.
  1. You encourage open communication
  1. I focus on understanding the other team member's message.
If you were to make improvements in Teamwork, what are your suggestions for how you can improve this?

Company

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You attend [Company] gatherings and social events.
  1. You express loyalty and dedication to [Company] in interactions with others.
  1. You understand the use of [Company] products and services.
  1. You understand the "basics" as to how [Company] functions/operates.
  1. You impress upon others the important aspects of [Company].
If you were to make improvements in Company, what are your suggestions for how you can improve this?

Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You create an ambitious and aspirational vision for the company.
  1. I establish a timeline for attainment of the organization's vision.
  1. You develop a vision to inspire collective action.
  1. You work to support the strategy of [Company]
  1. You detect problems and create solutions.
If you were to make improvements in Vision, what are your suggestions for how you 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.