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

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Seldom
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  1. Says "thank you" to show appreciation for work of others.
  1. Offers recognition in a timely manner.
  1. Lets employees know when they have done well
  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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  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Encourages risk taking and experimentation to improve performance
  1. Motivates others to achieve or exceed goals
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

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  1. Is able to express themselves clearly.
  1. Able to understand others' points of view.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
Please feel free to provide any comments to help explain your answers?

Delegation

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Seldom
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  1. Defines goals and objectives for subordinates.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Tells subordinates what to do, not how to do it.
  1. Clearly defines duties and tasks to be completed.
  1. Allows employees to decide how they wish to complete the tasks.
Please feel free to provide any comments to help explain your answers?

Change Management

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  1. Able to get department employees to accept new changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Is an inspiration for others to accept the recent changes.
  1. Assists others in understanding changes to the organization.
  1. Develops a strategy for implementing changes.
Please feel free to provide any comments to help explain your answers?

Managing Risk

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  1. Seeks to increase safety in the workplace.
  1. Determines if the level of risk is tolerable.
  1. Takes steps to reduce the occurrence of the risk events.
  1. Takes steps to minimize the impact/damage of the risk events.
  1. Quantifies current business practices to make better informed decisions.
Please feel free to provide any comments to help explain your answers?

Safety

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  1. Is aware of OSHA safety guidelines.
  1. Participates in safety training as applicable.
  1. Identifies predictable hazards in the workplace.
  1. Ensures compliance with safety regulations.
  1. Keeps accurate safety records.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. Offers constructive criticism to have a positive impact on performance.
  1. Considers the other individual's point of view.
  1. Communicates initiatives in a clear and actionable manner to employees.
  1. Assists those in the department who need help in meeting performance metrics.
  1. Recognizes the contributions of others.
Please feel free to provide any comments to help explain your answers?

Global Perspective

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  1. Exemplifies the skills of a global worker.
  1. Creates an environment where individual differences are valued and supported.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Applies knowledge of overseas markets.
  1. Volunteers for experiences and assignments abroad.
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.