hr-survey.com

Others- 360 Degree Feedback Survey Sample #5





360-Degree Assessment 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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is able to see issues from others' perspectives.
  1. Treats others with respect and dignity.
  1. Helpful
  1. ...treats others with respect and dignity.
  1. Works effectively with people from other departments.


Continual Improvement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Open to the suggestions from others.
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand and learn new job skills.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand current job responsibilities.


Cultural Awareness

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Shows respect in daily interactions
  1. Treats others with dignity and respect.
  1. Values the opinions of diverse groups and individual.
  1. Encourages a work environment where individual differences are valued.
  1. Recognizes and values individual and cultural differences.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets and maintains high standards for self and others.
  1. Provides employees with necessary resources to accomplish their goals.
  1. Uses timely and appropriate corrective/disciplinary actions.
  1. Makes sure commitments are understood and met.
  1. Sets specific and measurable goals for others and follows through to completion.


Quality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Corrects issues in a timely manner.
  1. Always strives to produce the highest quality work products.
  1. Reflects on what is working and what could be improved.
  1. Encourages employees to produce the best quality products.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.


Time Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes time for developing plans and schedules.
  1. Completes high-priority work within required timelines.
  1. Focuses on tasks that have high priority.
  1. Does not procrastinate.
  1. Sets a good balance between work and family life.


Commitment To Result

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Coordinates all department activities into a cohesive team effort.
  1. Maintains persistence and dedication to achieving results.
  1. Able to focus on a task even when working alone.
  1. Takes immediate action toward goals.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.


Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Explains regulations and procedures to others as required.
  1. Understands the applicable regulations and laws that impact our business.
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Follows all safety regulations and procedures.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Communicates a vision of where the Company needs to be in the future.
  1. Demonstrates consistency between words and actions
  1. Creates a common vision for others.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Persuades others to follow the Company's vision.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


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