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
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Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. You set a good example
  1. You take personal responsibility for results.
  1. You are a person others can trust.
  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. You take the initiative to learn new skills.
  1. You set relevant learning objectives and goals.
  1. You share best practices with others and learn from others.
  1. You seek opportunities to grow in skills and knowledge.
  1. You improve on your skill sets.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
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Competency
Seldom
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Competency
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Competency
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  1. You are open to the suggestions from others.
  1. You look for ways to improve work processes and procedures.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You look for ways to expand and learn new job skills.
  1. You promote training and development opportunities to enhance job performance.
Please feel free to provide any comments to help explain your answers?

Quality

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 correct issues in a timely manner.
  1. You hold employees accountable for your quality of work.
  1. You encourage others to achieve high quality standards.
  1. You reflect on what is working and what could be improved.
  1. You encourage employees to produce the best quality products.
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 rank the importance of tasks to make sure critical tasks are completed first.
  1. You can multitask while performing all of your other responsibilities and activities.
  1. You assess current capabilities before committing to new requests from customers.
  1. You assign tasks based on skills of team members.
  1. You prioritize tasks for efficiency.
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
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Competency
  1. You help others when free-time is available.
  1. You do not become distracted by non-issues or interruptions.
  1. You encourage a high-energy, fun work environment and coaches others on how to do the same
  1. You work toward achievement of goals even when confronted with obstacles.
  1. You demonstrate the personal confidence to "stay the course," even when faced with difficulty
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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  1. You anticipate the concerns of other employees.
  1. You adapt management style to meet the needs of the individual or situation.
  1. You use tact, compassion, and sensitivity in interactions with others.
  1. You demonstrate willingness to work with others.
  1. You apply appropriate communication techniques to the situation.
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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  1. You help employees to understand responsibilities, authority, and expectations.
  1. You develop the skills and capabilities of others.
  1. You conduct regular performance appraisals and feedback.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
  1. You provide clear, motivating, and constructive feedback.
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 identify and takes steps to prevent potential confrontations.
  1. You try to understand others' point of view before making judgments
  1. You clearly express expectations to others.
  1. You discuss conflict situations with supervisor.
  1. You deal effectively with employee grievances.
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
  1. You understand and appreciate the perspectives offered by others with different cultural backgrounds.
  1. You have positive interactions with individuals from different cultures and backgrounds.
  1. You work well with others from different cultural backgrounds.
  1. You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. You build working relationships with others across 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.