hr-survey.com

Performance - 360 Degree Feedback Survey Sample #3





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; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

Please ensure that your submission is made between . The survey will only be available during these dates.




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Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains a consistent level of commitment and discipline across changing work conditions.
  1. Maintains progress by rethinking approaches when faced with constraints.
  1. Makes after-action reviews a consistent practice.
  1. Ensures individual goals align with departmental and organizational performance priorities.
  1. Signals early when support or adjustments are needed to meet deadlines.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Guides the department in achieving high quality standards.
  1. Sets and enforces clear quality benchmarks, ensuring that team outputs consistently meet or exceed expectations.
  1. Identifies strategies and their associated risks to improve quality.
  1. Implements standardized and data driven quality processes/procedures.
  1. Collaborates with teams to create practical, situation-specific quality solutions.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Designs solutions with scalability and maintainability in mind for long-term use.
  1. Adapts procedures to work more effectively in a technical setting.
  1. Informs and educates department staff on technical issues.
  1. Applies quality assurance methodologies to ensure deliverables meet specifications and user needs.
  1. Provides staff with technical training.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Trains employees how to use software applications.
  1. Encourages teams to experiment with new tools and approaches.
  1. Promotes a culture of continuous digital learning.
  1. Incorporates lessons learned into future technology planning and implementation.
  1. Tests multiple workflow configurations or tool settings to determine which arrangement produces the most efficient, accurate, or user-friendly process.
Please feel free to provide any comments to help explain your answers?

Continuous Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Participates in Six Sigma projects that reduce waste, improve flow, and enhance process capability.
  1. Facilitates cross-department teamwork that reveals how roles and processes connect across the organization.
  1. Surveys customers on a daily basis.
  1. Acquires necessary resources to maintain continual improvement efforts.
  1. Collaborates with upstream and downstream partners to optimize end-to-end workflow performance.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Maintains an efficient schedule of activities.
  1. Avoids making personal phone calls during working hours.
  1. Starts the workday when scheduled.
  1. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
Please feel free to provide any comments to help explain your answers?

Attitude

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Participates in planning and facilitating team-building activities or staff recognition events.
  1. Steps forward and volunteers to support time-sensitive tasks without being asked, especially when others are unavailable.
  1. Enjoys working in the department
  1. Views every interaction as an opportunity to grow and refine perspective.
  1. Sets a positive tone for the department and team.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Fosters an environment that supports strong client focus.
  1. Obtains feedback to ensure client needs are being met.
  1. Uses client feedback to help improve products and services.
  1. Fulfills commitments made to clients.
  1. Takes the initiative in solving difficult client issues.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Responds to feedback from customers.
  1. Views customer satisfaction as an everyday priority.
  1. Makes customers feel valued by acknowledging their concerns and validating their experiences.
  1. Exhibits a positive attitude that influences how others approached customer service.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is highly committed to achieving team goals and objectives.
  1. Comes across as a reliable, committed team member
  1. Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
  1. Gives constructive advice to other team members.
  1. Facilitates effective decision-making practices to further develop the team.
Please feel free to provide any comments to help explain your answers?

Company

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Treats all employees equitably, regardless of role, background, or tenure.
  1. Makes a real difference in the communities we serve.
  1. Builds belief in the company's resilience and capacity to lead in its industry.
  1. Makes necessary changes to enable the company to stay competitive.
  1. Regularly evaluates equipment and systems to ensure they remain efficient and up to date.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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