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Managing Risk - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Risk Management:
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)
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



Managing Risk

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Performs a risk analysis as needed.
  1. Is aware of process safety management.
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Develops policies for risk management.
  1. Is aware of the financial implications of certain risks.
  1. Perceives the risks of different work tasks and activities.
  1. Bases decisions on patterns found in fluid/changing information.


Project Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains costs and expenses within budget limits.
  1. Organizes work and sets priorities as needed.
  1. Develops action items, workplans, timelines, and criteria for projects.
  1. Defines project outcomes based on customer requirements.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
  1. Responds quickly and appropriately to unforeseen problems.


Quality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Holds employees accountable for their quality of work.
  1. Always strives to produce the highest quality work products.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Corrects issues in a timely manner.
  1. Reflects on what is working and what could be improved.
  1. Encourages others to produce the highest quality work products.
  1. Encourages others to achieve high quality standards.


Feedback

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Shares past experiences with others as learning opportunities.
  1. Seeks feedback to enhance performance.
  1. Actively seeks feedback from others.
  1. Looks to others for input.
  1. Is visible and approachable.
  1. Asks others for their ideas and opinions.
  1. Accepts the views of others.


Customer Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops strong customer relationships.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
  1. Considers customers point of view when making decisions.
  1. Does not hesitate to address customer concerns or complaints.
  1. Consistently models positive customer service attitudes.
  1. Maintains positive customer relationships.
  1. ...friendliness and courtesy


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Analyzes unique issues or problems impacting the Company.
  1. Communicates vision for the department and company.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Identifies root causes of problems.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.



  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.