hr-survey.com

Passion to Learn - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Passion to Learn:
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 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:
Passion To Learn, Collaboration, Interpersonal Skills, Empowering Others, Adaptability, Juggling Multiple Responsibilities, Technology Use/Management, Others
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


Passion To Learn

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are highly motivated to learn new skills.
  1. You create an environment that supports personal development and exploration.
  1. You desire to gain knowledge and enhance skills.
  1. You hold self and associates accountable for goal achievement.
  1. You will spend the extra time needed to learn how to properly use new equipment/materials.
  1. You critique own performance and learn from experience as a source of continuous improvement.
If you were to make improvements in Passion To Learn, what are your suggestions for how you can improve this?

Collaboration

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You create an environment that encourages information sharing.
  1. You include all stakeholders in the decision making process.
  1. You a dependable partner in the group.
  1. You value others in decision making.
  1. You create an environment where others feel comfortable sharing knowledge and information.
  1. You encourage a diversity of opinions and ideas.
If you were to make improvements in Collaboration, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You anticipate the concerns of other employees.
  1. You keep and maintain confidentiality and trust.
  1. You effectively manage conflicts by dealing with them directly and immediately
  1. You create an atmosphere that supports the open expression of ideas
  1. You provide constructive feedback in a way that fosters acceptance and development.
  1. You express appreciation of other's work.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You give responsibility for making important decisions to employees.
  1. You set clear goals for others to accomplish.
  1. You give employees autonomy to complete tasks on their own.
  1. You encourage employees to solve problems on your own.
  1. You let employees make their own decisions.
  1. You encourage others to obtain necessary skills and training.
If you were to make improvements in Empowering Others, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to work effectively with new people and new teams.
  1. You perform a wide range of tasks, respond to changes in direction and priorities and accept new challenges, responsibilities, and assignments.
  1. You adjust plans to meet the needs of new constraints.
  1. You can adjust plans as needed based on changing conditions.
  1. You continually try to improve skills to remain current.
  1. You are able to adapt to changes in technology and processes.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You assess current capabilities before committing to new requests from customers.
  1. You create, use and maintain "To-do" lists.
  1. You prioritize tasks for efficiency.
  1. You switch attention to more urgent tasks when necessary.
  1. You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. You avoid procrastinating or delaying.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You adopt the implementation of new technology into the workplace.
  1. You maximize the use of new technology to deliver products and services.
  1. You support technical training and development of employees.
  1. You support employee training and development initiatives regarding implementation of technology.
  1. You apply complex rules and regulations to maintain optimal system performance.
  1. You use technology in decision making and problem solving.
If you were to make improvements in Technology Use/Management, what are your suggestions for how you can improve this?

Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to see issues from others' perspectives.
  1. You are able to see issues from others' perspectives.
  1. You treat others with respect and dignity.
  1. You respect the opinions of other employees.
  1. You consistently demonstrate ability and willingness to trust others.
  1. You include others in the decision making processes.
If you were to make improvements in Others, 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.