hr-survey.com

Quality - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Quality:
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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you were asked to achieve. 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 become part of the assessment process to foster your growth and on-going development.

Sample Result Document:
Sample Results
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.

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


Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You reflect on what is working and what could be improved.
  1. You encourage others to produce the highest quality work products.
  1. You correct issues in a timely manner.
  1. You encourage others to achieve high quality standards.
What are your suggestions for how you can make improvements
in Quality?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You go above and beyond the stated goals.
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You prepare for unexpected contingencies.
  1. You immediately work to complete goals well before your deadline.
What are your suggestions for how you can make improvements
in Initiative?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are creative and inspirational.
  1. You conceive, implement and evaluate ideas.
  1. You add value to the department/organization.
  1. You are creative.
What are your suggestions for how you can make improvements
in Creativity?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You display high energy and enthusiasm on consistent basis.
  1. You make effective decisions, even when under pressure.
  1. You work quickly when faced with difficult problems.
  1. You get the job done.
What are your suggestions for how you can make improvements
in Action?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You align individual and team goals with the organization's goals and objectives.
  1. You recognize and value good performance.
  1. You present performance feedback in a clear and concise manner.
  1. You ensure employees understand how work is to be completed.
What are your suggestions for how you can make improvements
in Managing Performance?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You analyze data and information from several sources and arrives at logical conclusions.
  1. You use appropriate techniques to solve problems.
  1. You balance risks and costs with the reward and probabilities of success when decisions.
  1. You identifiy opportunities for progress and innovation.
What are your suggestions for how you can make improvements
in Analytical?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You use a scheduler/planner to keep tasks organized and on time.
  1. You build in extra time in the schedule for unplanned events/occurrences.
  1. You ensure that assignments are prioritized according to the needs of the department/company.
  1. You assess current capabilities before committing to new requests from customers.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You demonstrate the functional or technical skills necessary to do your job.
  1. You can be counted on to add value wherever you are involved.
  1. You keep yourself and others focused on constant improvement.
  1. You take a lot of pride in your work.
What are your suggestions for how you can make improvements
in Excellence?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You develop good rapport and trust with the customer.
  1. You do not hesitate to address customer concerns or complaints.
  1. You consistently model positive customer service attitudes.
  1. You maintain positive customer relationships.
What are your suggestions for how you can make improvements
in Customer Focus?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You let employees make their own decisions.
  1. You support the decisions of others.
  1. You set clear goals for others to accomplish.
  1. You are confident in the abilities of employees assigned important tasks.
What are your suggestions for how you can make improvements
in Empowering Others?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You try to understand others' point of view before making judgments
  1. You identify and takes steps to prevent potential confrontations.
  1. You assist team members by helping them see the other point of view.
  1. You help employees to think through alternative ways to resolve conflict situations.
What are your suggestions for how you can make improvements
in Conflict Management?

Teamwork

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You encourage teamwork and collaboration.
  1. You carry your share of the workload
  1. You create a culture that fosters and values collaboration.
  1. You communicate a clear message that teamwork and collaboration are expected.
What are your suggestions for how you can make improvements
in Teamwork?


  1. Strengths


  2. Areas for Development


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