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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  1. Compliments other people when they do good work
  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. Lets employees know when they have done well
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. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Motivates others to achieve or exceed goals
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  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

Does Not
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Competency
Seldom
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  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Accurately perceives the emotional reactions of others.
  1. Able to understand others' points of view.
  1. Is able to manage their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
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. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Allows subordinates to use their own methods and procedures.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Clearly defines duties and tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Change Management

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  1. Supports the Company's efforts to implement changes.
  1. Facilitates change with minimal resistance.
  1. Develops plans for following through on the changes.
  1. Works cooperatively with others to implement changes.
  1. Is an inspiration for others to accept the recent changes.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. Takes steps to minimize the impact/damage of the risk events.
  1. Ensures that any risky decisions taken are based on informed decision making.
  1. Accepts risk as needed.
  1. Develops policies for risk management.
  1. Attends risk management seminars and conferences.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
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  1. Participates in safety training as applicable.
  1. Develops safety guidelines for the department.
  1. Supports our company's safety programs.
  1. Identifies and addresses safety needs.
  1. Develops a sustainable safety culture.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
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  1. Addresses critical customer issues in a timely manner.
  1. Works diligently to assist customers in finding the right products.
  1. Is well respected in the department.
  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Anticipates the concerns of other employees.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Cooperates with others on a global scale.
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Engages in problem solving with individuals outside of the country.
  1. Communicates effectively on a multi-lingual basis.
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.