hr-survey.com

Responsibility - 360 Degree Feedback Survey Sample #3





Questionnaires Measuring Responsibility:
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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. 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.

Competencies Included:
Responsible, Continual Learning, Continual Improvement, Quality, Juggling Multiple Responsibilities, Results Oriented, Interpersonal Skills, Coaching, Conflict Management, Global Perspective
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.




Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. You are a person others can trust.
  1. You take personal responsibility for results.
  1. You set a good example
  1. Your behavior is ethical and honest.
  1. You act as a resource without removing individual responsibility.
Please feel free to provide any comments to help explain your answers?

Continual Learning

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. I view setbacks as opportunities to learn from.
  1. You seek opportunities to grow in skills and knowledge.
  1. You improve on your skill sets.
  1. You are open to new ideas and concepts.
  1. You pursue self-improvement through continual learning.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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  1. You look for ways to improve work processes and procedures.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You analyze processes to determine areas for improvement.
  1. You look for ways to expand and learn new job skills.
Please feel free to provide any comments to help explain your answers?

Quality

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. You analyze what occurred and re-adjusts accordingly when goals are not met.
  1. You hold employees accountable for your quality of work.
  1. You always strive to produce the highest quality work products.
  1. You encourage employees to produce the best quality products.
  1. You correct issues in a timely manner.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. You coordinate the work of a team by assigning tasks to other team members.
  1. You use a scheduler/planner to keep tasks organized and on time.
  1. You prioritize tasks for efficiency.
  1. You ensure that assignments are prioritized according to the needs of the department/company.
  1. You determine which tasks are critical and which tasks are optional.
Please feel free to provide any comments to help explain your answers?

Results Oriented

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
Always
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Competency
  1. You inspire and motivates co-workers to be productive and energetic at work
  1. You encourage a high-energy, fun work environment and coaches others on how to do the same
  1. You explain the "whys" behind organizational objectives
  1. You direct team in prioritizing daily work activities
  1. You work toward achievement of goals even when confronted with obstacles.
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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Competency
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Competency
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Competency
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  1. You create an atmosphere that supports the open expression of ideas
  1. You are open and approachable
  1. You demonstrate willingness to work with others.
  1. You are able to work with individuals at all levels of the company.
  1. You successfully resolve conflicts and grievances to a win-win solution.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. You conduct regular performance appraisals and feedback.
  1. You develop the skills and capabilities of others.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You help employees to understand responsibilities, authority, and expectations.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
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Competency
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Competency
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Competency
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  1. You help employees to think through alternative ways to resolve conflict situations.
  1. You clearly express expectations to others.
  1. You discuss conflict situations with supervisor.
  1. You try to understand others' point of view before making judgments
  1. You identify and takes steps to prevent potential confrontations.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
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Competency
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Competency
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Competency
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Competency
  1. You build working relationships with others across cultures.
  1. You demonstrate a curiosity about diverse individuals and cultures.
  1. You respect individual differences.
  1. You volunteer for experiences and assignments abroad.
  1. You are able to work with individuals having different backgrounds and cultures.
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.