hr-survey.com

Others- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Others:
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:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and discussed with the employee 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.

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


Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Forms working relationships with employees from other departments.
  1. Works across boundaries within the organization.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Is able to see issues from others' perspectives.
  1. Consistently demonstrates ability and willingness to trust others.
If [Participant Name] were to make improvements in Others, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Treats all people fairly and with respect.
  1. Contributes to a positive and fun work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Gives direct, constructive, and actionable feedback.
  1. Gives inspiring presentations or discussions.
  1. Expresses clear goals and objectives.
  1. Able to influence others.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Delegation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Clearly defines duties and tasks to be completed.
  1. Defines goals and objectives for subordinates.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Goals

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. Understands & contributes to development of strategic goals.
  1. Goal Setting
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Determines which tasks are critical and which tasks are optional.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Begins tasks as soon as possible.
  1. Uses a scheduler/planner to keep tasks organized and on time.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Managing Risk

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Maintains open communication with other departments.
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Tracks and monitors incidents that may increase the risk of adverse consequences.
  1. Attends risk management seminars and conferences.
  1. Improves process safety where possible.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Takes care to maintain confidential information.
  1. Delivers on promises made.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Works in a way that makes others want to work with her/him.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to understand responsibilities, authority, and expectations.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Recognition

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Readily shares credit and gives others opportunity for visibility.
  1. Offers recognition in a timely manner.
  1. Recognizes the abilities and skills of self and others
  1. Makes people around them feel appreciated and valued.
  1. Lets employees know when they have done well
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Planning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Delegates role to team members to accomplish goals.
  1. Works in an organized manner
  1. Makes plans and follows through.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she 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.