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Punctuality - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Punctuality:
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 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. In responding to the questions below, think about your experiences over the last 12 months.

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
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Punctuality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You respond to requests for information in a timely manner.
  1. You avoid making personal phone calls during working hours.
  1. You conduct appointments at scheduled start time.
  1. You maintain an efficient schedule of activities.
  1. You start meetings on time.
If you were to make improvements in Punctuality, what are your suggestions for how you can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I respond in a timely manner, respecting deadlines and others' schedules.
  1. You convey ideas confidently and succinctly.
  1. You deliver difficult messages to co-workers in an appropriate manner
  1. I make eye contact with the person I am speaking with.
  1. You speak clearly, fluently, and in a compelling manner to both individuals and groups.
If you were to make improvements in Communication Skills, what are your suggestions for how you can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You do the right thing even when negative consequence may result.
  1. You foster a high standard of ethics and integrity.
  1. You maintain the confidentiality of others.
  1. You always conduct yourself in an honest and upfront manner
  1. You demonstrate honesty and truthfulness at all times.
If you were to make improvements in Integrity, what are your suggestions for how you can improve this?

Continual Improvement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You continually seek opportunities to improve efficiency.
  1. You evaluate the effectiveness of improvements.
  1. You create a culture of knowledge sharing to facilitate continuous improvement.
  1. You look for ways to expand current job responsibilities.
If you were to make improvements in Continual Improvement, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to increase the performance of under-performing employees.
  1. You inspire, encourage, and guide others toward the vision, mission, and goals.
  1. You communicate calmly and honestly even when stressed.
  1. You set specific, measurable, and challenging goals.
  1. You express clear goals and objectives.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You have excellent influencing/negotiating skills.
  1. You communicate effectively with others.
  1. You ensure stakeholders are involved in the decision making process.
  1. You attempt to persuade others rather than simply control them.
  1. You understand what others need.
If you were to make improvements in Persuasion and Influence, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I identify the parameters impacting the decision.
  1. You come across as confident, decisive, and resilient
  1. I view issues from multiple perspectives before making a decision.
  1. I make creative decisions.
  1. I make decisions that support the department's goals and objectives.
If you were to make improvements in Decision Making, what are your suggestions for how you can improve this?

Commitment To Result

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
  1. You encourage commitment in others to obtain results.
  1. You coordinate all department activities into a cohesive team effort.
  1. You maintain persistence and dedication to achieving results.
  1. You are able to focus on a task even when working alone.
If you were to make improvements in Commitment To Result, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You successfully mediate conflicts and disagreements.
  1. You facilitate the resolution of conflicts and grievances.
  1. You coach others how to communicate with influence and persuasion.
  1. I offer praise to colleagues who have successfully completed major projects.
  1. You have empathy for coworkers.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Co-worker Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You provide access to development resources for co-workers
  1. You adapt coaching and mentoring approach to meet the style or needs of individuals
  1. You work to identify root causes of performance problems
  1. You provide ongoing feedback to co-workers on your development progress
  1. You monitor and assess the performance levels of individuals and team, measuring them against targets
If you were to make improvements in Co-worker Development, what are your suggestions for how you can improve this?

Global Perspective

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to listen and understand others and discuss issues in a respectful way.
  1. You understand global systems such as the global economy.
  1. You volunteer for experiences and assignments abroad.
  1. You attend training seminars and conferences to increase skills in working with others globally.
  1. You apply knowledge of overseas markets.
If you were to make improvements in Global Perspective, 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.