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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)
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:
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
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Objectives

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You consistently provide me with timely feedback for improving my performance.
  1. You organize and schedules events, activities, and resources.
  1. You encourage others to take on greater responsibility.
  1. You communicate goals and objectives to employees.
  1. You effectively organize resources and plans
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 create a lot of new ideas.
  1. You add value to the department/organization.
  1. You are creative.
  1. You are creative and inspirational.
  1. You inspire creativity in your team.
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 convey a sense of urgency about addressing problems and opportunities
  1. You identify ways to simplify work processes and reduce cycle times
  1. You display high energy and enthusiasm on consistent basis.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You seek and utilize opportunities for continuous learning and self-development.
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 are attentive to emotional cues and interprets others' feelings correctly.
  1. You are able to express yourself clearly.
  1. You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. You are able to control your own emotions.
  1. You accurately perceive the emotional reactions of others.
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 are able to organize work.
  1. You set a high standard for job performance.
  1. You work well in this position.
  1. You listen and respond to issues and problems
  1. You effectively organize resources and plans
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 are willing to consider information from other sources.
  1. I decide which short- and long-term goals should be created.
  1. You are willing to change your strategy if new information arises.
  1. You recognize and generates innovative solutions.
  1. You are open to the suggestions from subordinates.
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 gladly seek additional responsibilities.
  1. I inform the manager of any important changes in the equipment operation.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. I initiate important conversation topics at meetings.
  1. You help the department take the initiative to create new solutions.
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. I prepare and present annual reports as required.
  1. You understand the applicable regulations and laws that impact our business.
  1. You work quickly to implement changes in regulations.
  1. I establish clear communication channels and lines of communication for compliance related issues.
  1. You keep informed of various regulations and procedures.
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. You exhibit behavior that is consistent with the vision, mission, and core values of the organization
  1. You effectively develop and use resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. You create unique strategies that impact the Company.
  1. You understand financial terminology, statements.
  1. You understand complex issues and problems.
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.