Recognition- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Recognition:
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:

[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.

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


Recognition

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Readily shares credit and gives others opportunity for visibility.
  1. Recognizes team members who offer a significant contribution to a project.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Makes people around them feel appreciated and valued.
  1. Offers recognition in a timely manner.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Contributes to a positive work environment.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Is gracious and professional in their interactions with others.
  1. Builds open and trusting relationships.
  1. Shows by their actions that they trust in the positive intentions of others.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Conceives, implements and evaluates ideas.
  1. Is creative and inspirational.
  1. Develops solutions to challenging problems.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Self Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Does not allow own emotions to interfere with the performance of others.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Supervisory Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Provides direction and coaching to employees.
  1. Asks employees for their input in decisions that may directly affect the team.
  1. Contributes to a productive work environment for the team.
  1. Encourages employees to take responsibility for mistakes.
  1. Informs employees of what tasks need to be completed on each shift.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Clarity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Clearly explains the vision and goals of the company.
  1. Provides a clear vision for the future.
  1. Clarifies problems and their causes to help employees correct them.
  1. Is clear about the roles and duties of team members.
  1. Checks details thoroughly.
If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?

Responsible

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Responsible for setting the vision of the department.
  1. Completes assigned work tasks.
  1. Sets high personal standards of performance.
  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Customer Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Prioritizes customer issues to tackle the most pressing needs first.
  1. Effectively troubleshoots customer issues.
  1. Creates an environment that enables customers to receive excellent service.
  1. Has excellent communication with customers.
  1. Anticipates resources needed to meet the customer needs.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Conflict Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Tries to understand others' point of view before making judgments
  1. Deals effectively with employee grievances.
  1. Tries to ensure that all basic needs are satisfied.
  1. Guides others toward establishing strong relationships.
  1. Addresses concerns about the availability of limited resources.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?

Planning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops plans to ensure the smooth operation of the supply chain.
  1. Determines the amount of materials/supplies needed for the project.
  1. Reduces uncertainty in the department through clear planning and schedules.
  1. Analyzes market trends to plan the best course of action.
  1. Conducts regular assessments of the project status to ensure adherence to the set schedule.
If [Participant Name] were to make improvements in Planning, 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.