hr-survey.com

Objectives - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Excellence:
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

You have been selected to provide feedback on the employee listed above. 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 working with this employee over the last twelve months and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going 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 between . The survey will only be available during these dates.


Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Encourages me to take on greater responsibility.
  1. Works toward achieving established goals and objectives.
  1. Ability to establish realistic goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Consistently provides me with timely feedback for improving my performance.
What are your suggestions for how [Participant Name] can make improvements
in Objectives?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Steps away from a situation to process appropriate response.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Does not allow own emotions to interfere with the performance of others.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Asks others for their ideas and opinions.
  1. Is easy to approach with ideas and opinions.
  1. Accepts the views of others.
  1. Shares past experiences with others as learning opportunities.
  1. Actively seeks feedback from others.
What are your suggestions for how [Participant Name] can make improvements
in Feedback?

Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Sets an example for others to follow
What are your suggestions for how [Participant Name] can make improvements
in Management?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Encourages employees to achieve their full potential.
  1. Delegates effectively.
  1. Appropriately recognizes and rewards employees.
  1. Maintains good working relationships with employees.
  1. Treats all staff equitably.
What are your suggestions for how [Participant Name] can make improvements
in Supervisory Skills?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.
  1. Persuades others to consider alternative points of view.
  1. Develops a good rapport with others.
  1. Understanding what others need.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Begins tasks as soon as possible.
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Keeps track of multiple assignments and deadlines.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Assigns tasks based on skills of team members.
What are your suggestions for how [Participant Name] can make improvements
in Juggling Multiple Responsibilities?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works to identify root causes of performance problems
  1. Provides ongoing feedback to co-workers on their development progress
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Gives others development opportunities through project assignments and increased job responsibilities
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Excellent at managing relationships with stakeholders.
  1. Finds unique ways to go around barriers to success.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Encourages risk taking for developing potential business opportunities.
What are your suggestions for how [Participant Name] can make improvements
in Entrepreneurship?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Follows existing procedures and processes.
  1. Attends [Company] gatherings and social events.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Impresses upon others the important aspects of [Company].
What are your suggestions for how [Participant Name] can make improvements
in Company?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.