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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 communicate goals and objectives to employees.
  1. You effectively organize resources and plans
  1. You are able to organize work.
  1. You organize and schedules events, activities, and resources.
  1. You are able to establish realistic goals.
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. I facilitate training that enhances imaginative and innovative capabilities.
  1. I reflect on new learning to inspire imaginative thinking.
  1. I connect with peers across functions to spark new thinking.
  1. You reduce barriers to creativity and innovation.
  1. I bring a unique creative lens to problem-solving and planning.
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. I create and maintain to-do lists.
  1. You set high expectations on results for yourself and your teams, constantly pushing for excellence.
  1. I keep the team regularly updated as to the progress to ensure everyone is aware of what work still needs to be done.
  1. I identify key constraints that may impact the achievement of results.
  1. You eagerly volunteer for projects.
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 able to control your own emotions.
  1. You are able to manage your own emotions.
  1. You are able to express yourself clearly.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You help to make decisions and solve problems using knowledge about how others will react in certain situations.
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 effective in performing your job.
  1. You are able to organize work.
  1. You have great overall performance
  1. You produce quality
  1. You shown significant improvement in job performance.
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 exercise good judgment by making sound and informed decisions.
  1. I examine for patterns in data to help predict future possibilities.
  1. I gather information before making a decision.
  1. You apply creative reasoning in making decisions.
  1. You approach challenges from unconventional angles, revealing new paths forward.
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. You introduce changes that reduce operational costs or increase revenue.
  1. You are a self-starter. You do not wait to be told to do something.
  1. You guide strategic initiatives to advance the department/organization.
  1. I initiate projects that have an impact on the department.
  1. You take the initiative to complete tasks ahead of schedule.
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 comply with trade agreements affecting international companies.
  1. You ensure the company meets legal requirements/standards regarding employees.
  1. You maintain a state of readiness to address new and changing regulations and procedures.
  1. You review skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. You follow all safety 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 formulate business strategies for addressing the Company's important needs.
  1. You are able to decipher complex data making it easier to generate new insights.
  1. I analyze current business practices to make better informed decisions.
  1. You have conversations with customers and clients to get a better insight into their business needs.
  1. I prioritize risks based on an understanding of their possible impact to the company.
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.