Objectives - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Objectives:
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 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:
Objectives, Creativity, Bias for Action, Emotional Intelligence, Performance, Decision Making, Initiative, Regulatory/Compliance, Business Acumen
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


Objectives

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You organize and schedules events, activities, and resources.
  1. You establish goals and objectives.
  1. You are able to organize work.
  1. You encourage others to take on greater responsibility.
  1. You work toward achieving established goals and objectives.
If you were to make improvements in Objectives, what are your suggestions for how you can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You inspire creativity in your team.
  1. You are creative.
  1. You conceive, implement and evaluate ideas.
  1. You are creative and inspirational.
  1. You add value to the department/organization.
If you were to make improvements in Creativity, what are your suggestions for how you can improve this?

Bias for Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You complete work on time
  1. You display high energy and enthusiasm on consistent basis.
  1. You seek and utilize opportunities for continuous learning and self-development.
  1. You identify ways to simplify work processes and reduce cycle times
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
If you were to make improvements in Bias for Action, what are your suggestions for how you can improve this?

Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You accurately perceive the emotional reactions of others.
  1. You are able to express yourself clearly.
  1. You are able to understand others' points of view.
  1. You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
If you were to make improvements in Emotional Intelligence, 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 effectively organize resources and plans
  1. You set a high standard for job performance.
  1. You shown significant improvement in job performance.
  1. You listen and respond to issues and problems
If you were to make improvements in Performance, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You remain focused on the immediate goal when making decisions.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  1. You are firm in your decision and not easily influenced by the whims of others.
  1. I make decisions that support the department's goals and objectives.
  1. You exercise good judgment by making sound and informed decisions.
If you were to make improvements in Decision Making, what are your suggestions for how you can improve this?

Initiative

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I clean the workspace without being told.
  1. You seize upon opportunities available.
  1. I analyze the needs of the situation and act before being told to do so.
  1. I capitalize on opportunities as they become available.
  1. I look for opportunities to move projects forward.
If you were to make improvements in Initiative, what are your suggestions for how you can improve this?

Regulatory/Compliance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You perform regular compliance audits.
  1. You are aware of federal and local laws affecting employees.
  1. You offer training to employees to ensure they are complying with regulations.
  1. You create and maintain necessary regulatory documentation.
  1. You offer training on various subjects to help ensure employees are aware of regulations.
If you were to make improvements in Regulatory/Compliance, what are your suggestions for how you can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I understand consumer behaviors and how they may change in the future.
  1. You maintain currency with laws, regulations, policies, procedures, trends, and developments.
  1. You anticipate marketplace opportunities and supports speed to market.
  1. I know how to use financial information to make an impact on the organization.
  1. You understand impacts of domestic & global market events & issues.
If you were to make improvements in Business Acumen, 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.