Recognition- 360 Degree Feedback Survey Sample #3





Competencies Included:
Recognition, Bias for Action, Emotional Intelligence, Delegation, Change Management, Managing Risk, Safety, Interpersonal Skills, Global Perspective
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)
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.




Recognition

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Recognizes individuals for a specific outstanding achievement.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Says "thank you" to show appreciation for work of others.
  1. Finds opportunities to recognize others.
  1. Compliments other people when they do good work
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Motivates others to achieve or exceed goals
  1. Encourages risk taking and experimentation to improve performance
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
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Competency
Seldom
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  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to manage their own emotions.
  1. Accurately perceives the emotional reactions of others.
  1. Able to understand others' points of view.
  1. Is able to control their own emotions.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Defines goals and objectives for subordinates.
  1. Entrusts subordinates with important tasks.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Please feel free to provide any comments to help explain your answers?

Change Management

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  1. Is an inspiration for others to accept the recent changes.
  1. Effective in implementing new organizational vision and values.
  1. Able to get department employees to accept new changes.
  1. Develops a strategy for implementing changes.
  1. Is a leading force driving changes.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
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Competency
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Competency
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Competency
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  1. Effectively responds to critical situations to reduce potential for losses.
  1. Aware of appropriate actions to minimize risks.
  1. Attends risk management seminars and conferences.
  1. Able to adapt quickly to changing situations.
  1. Committed to implementing rules and procedures to minimize risk.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
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Competency
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  1. Performs work safely.
  1. Points out behaviors in others that may be unsafe.
  1. Identifies and addresses safety needs.
  1. Keeps accurate safety records.
  1. Commits adequate resources toward safety measures.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
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Competency
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  1. Responds quickly to inquiries from potential customers.
  1. Keeps commitments made with coworkers.
  1. Strives to lead by example to demonstrate the value of interpersonal relationships.
  1. Provides constructive feedback in a way that fosters acceptance and development.
  1. Is honest about making mistakes and willing to fix them.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
Seldom
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Competency
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  1. Exemplifies the skills of a global worker.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Applies knowledge of overseas markets.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. Has positive interactions with individuals from different cultures and backgrounds.
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.