hr-survey.com

Quality - 360 Degree Feedback Survey Sample #3





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)
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.





Quality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Reflects on what is working and what could be improved.
  1. Always strives to produce the highest quality work products.
  1. Corrects issues in a timely manner.
  1. Holds employees accountable for their quality of work.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Deals effectively with interruptions.
  1. Does not procrastinate.
  1. Prioritizes new tasks according to their relative importance.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Sets clearly defined goals.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Perceives the risks of different work tasks and activities.
  1. Creates informative guides regarding potential risks and risky behaviors.
  1. Offers training to reduce safety incidents in the workplace.
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Gathers information regarding potential risks.
Please feel free to provide any comments to help explain your answers?

Integrity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Accepts responsibility for mistakes.
  1. Fosters an environment built upon trust.
  1. Develops trust and confidence from others.
  1. Follows tasks to completion.
  1. Demonstrates sincerity in actions with others.
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. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Arrives to meetings on time.
Please feel free to provide any comments to help explain your answers?

Managing Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates clear standards that are understandable and fair.
  1. Recognizes and values good performance.
  1. Reviews job performance shortly after completion of tasks.
  1. Acknowledges employee contributions that support the bottom line.
  1. Makes sure the team's goals are met.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Defines project outcomes based on customer requirements.
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Develops action items, workplans, timelines, and criteria for projects.
  1. Organizes work and sets priorities as needed.
  1. Maintains costs and expenses within budget limits.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Able to organize work.
  1. Sets a high standard for job performance.
  1. Works effectively in the department.
  1. Effectively organizes resources and plans
  1. ...Overall Performance
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages others to work safely.
  1. Is not afraid to question a potential safety issue observed in the workplace.
  1. Identifies predictable hazards in the workplace.
  1. Develops a sustainable safety culture.
  1. Keeps accurate safety records.
Please feel free to provide any comments to help explain your answers?

Others

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works across boundaries within the organization.
  1. Able to see issues from others' perspectives.
  1. Respects the opinions of other employees.
  1. Forms working relationships with employees from other departments.
  1. Treats others with respect and dignity.
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.