hr-survey.com

Others- 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Assessments 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

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 comment section for that competency. 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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Others

  • Treats others with respect and dignity.
  • Consistently demonstrates ability and willingness to trust others.
  • Is able to see issues from others' perspectives.
  • Works effectively with people from other departments.
  • Supports the efforts of other employees in implementing solutions to problems.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Emotional Intelligence

  • Is able to control their own emotions.
  • Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  • Is attentive to emotional cues and interprets others' feelings correctly.
  • Able to understand others' points of view.
  • Is able to express themselves clearly.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Quality

  • Reflects on what is working and what could be improved.
  • Always strives to produce the highest quality work products.
  • Corrects issues in a timely manner.
  • Holds employees accountable for their quality of work.
  • Encourages employees to produce the best quality products.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Achievement

  • Rapidly completes tasks and assignments.
  • Helps others to improve or meet standards of performance.
  • Follows-up and takes action when goals are not met to ensure better results in the future.
  • Makes use of talents of others to help achieve a high level of performance.
  • Allocates resources as needed to accomplish organizational goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Responsible

  • Acts as a resource without removing individual responsibility.
  • Is a person you can trust.
  • ...takes personal responsibility for results.
  • Works in a way that makes others want to work with her/him.
  • Completes assigned work tasks.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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