HR-Survey > 360-Degree Feedback > Competency Model > Performance

Performance - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Performance:
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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
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.

Competencies Included:
Performance, Achievement, Empowering Others, Teamwork, Adaptability, Action, Continual Learning, Leadership, Company, Vision
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


Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. ...Produce Quality
  1. Listens and responds to issues and problems
  1. Works well in this position.
  1. Effectively organizes resources and plans
  1. Sets a high standard for job performance.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Accepts setbacks and challenges as improvement opportunities
  1. Takes immediate action of projects that fall behind schedule.
  1. Is results oriented.
  1. Is determined to complete tasks regardless of obstacles that may occur.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
  1. Willing to share in the decision making process.
  1. Allows employees to take on more responsibilities.
  1. Gives new tasks to employees.
  1. Motivates and encourages employees to be successful in their jobs.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes eye contact when listening to colleagues.
  1. Encourages collaboration with other departments.
  1. Actively participates as a team member
  1. Is open to new ideas that may change own goals for benefit of the team
  1. Shares pertinent information with all members of the team.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Responds quickly to new information.
  1. Works effectively with various personalities of team members.
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Is aware of changes to team personnel.
  1. Responsive to the needs of others.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Looks for extra ways to help the department achieve performance goals.
  1. Fixes small issues before they become critical incidents.
  1. Avoids "Analysis Paralysis" through action.
  1. Delegates tasks and assignments to subordinates as soon as a request has been made.
  1. Conducts critical-incident review immediately after the event.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Seeks opportunities to grow in skills and knowledge.
  1. Views setbacks as opportunities to learn from.
  1. Takes the initiative to learn new skills.
  1. Pursues learning that will enhance job performance.
  1. Pursues self-improvement through continual learning.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Guides decision-making by coaching, counseling and rewarding.
  1. Effectively leads others.
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
  1. Leads team to set goals, solve problems, and accomplish tasks.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Company

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Attends [Company] gatherings and social events.
  1. Follows existing procedures and processes.
  1. Understands the "basics" as to how [Company] functions/operates.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?

Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Determined to bring the strategic vision to fruition.
  1. Supports a positive vision for the future that increases market share and the bottom line.
  1. Able to formulate and implement a vision for the future of the department.
  1. Creates a vision to align corporate strategies with the organization's value system.
  1. Is able to diagnose issues and problems and to create a vision for their solutions.
If [Participant Name] were to make improvements in Vision, 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.