Results Oriented - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Results Oriented:
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 for Employees Participating in the 360-Feedback Assessment:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. In responding to the questions below, think about your experiences over the last 12 months.

Competencies Included:
Results Oriented, Technical, Interpersonal Skills, Communication Skills, Continual Learning, Developing Others, Leadership, Persuasion and Influence, Integrity, Quality, Entrepreneurship, Global Perspective
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Results Oriented

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are highly motivated to complete tasks despite obstacles that may arise.
  1. You do not become distracted by non-issues or interruptions.
  1. You hold yourself and others accountable for achieving results.
  1. I establish benchmarks to be met when working on projects.
  1. You spend majority of time working on "important and urgent" activities.
If you were to make improvements in Results Oriented, what are your suggestions for how you can improve this?

Technical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You willingly share information and expertise; sought out as resource by others
  1. You willingly share your technical expertise; sought out as resource by others
  1. You demonstrate mastery of the technical competencies required in your work.
  1. You are knowledgeable of procedures or systems necessary for the job.
  1. You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
If you were to make improvements in Technical, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I show appreciation for other's work.
  1. You demonstrate compassion and understanding of others.
  1. You are able to work with individuals at all levels of the company.
  1. I take time to recognize the efforts of others.
  1. You have empathy for coworkers.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You prepare effective external communications, using basic familiarity of legal requirements and limitations
  1. You focus communications on the relevant key issues.
  1. You use active listening techniques (e.g., paraphrasing, reflecting, open-ended questions) to ensure successful communication
  1. You summarize or paraphrase the current question to confirm understanding.
  1. I conduct impactful training sessions.
If you were to make improvements in Communication Skills, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You participate in regular training offered.
  1. You are open to new ideas and concepts.
  1. You pursue learning that will enhance job performance.
  1. You pursue professional development opportunities when they arise.
  1. You take the initiative to learn new skills.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You assess employees' developmental needs.
  1. You recognize and celebrates accomplishments of others.
  1. You create opportunities for professional development.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You support the successes of other employees.
If you were to make improvements in Developing Others, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You empower others to succeed within your jobs.
  1. You consistently follow the commitments to communication in dealing with others
  1. You recognize individual and team accomplishments and reward them appropriately.
  1. You take ownership and accountability for results
  1. You demonstrate leadership and courage in critical situations.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You seek to obtain consensus or compromise.
  1. You ensure stakeholders are involved in the decision making process.
  1. You persuade others to consider alternative points of view.
  1. You understand what others need.
  1. You develop a good rapport with others.
If you were to make improvements in Persuasion and Influence, what are your suggestions for how you can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You maintain strong relationships with others.
  1. You demonstrate sincerity in actions with others.
  1. You foster a high standard of ethics and integrity.
  1. You maintain the confidentiality of others.
  1. You deliver on promises and meets obligations.
If you were to make improvements in Integrity, what are your suggestions for how you can improve this?

Quality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You implement standardized and data driven quality processes/procedures.
  1. I systematically and thoroughly inspect products for consistency in meeting specifications.
  1. You are able to create quality initiatives to be implemented organization-wide.
  1. I understand and use established quality procedures/controls.
  1. I lead the department in quality improvement initiatives.
If you were to make improvements in Quality, what are your suggestions for how you can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You identify problems that need solved.
  1. You are able to adapt the department to changing business demands and climate.
  1. You risk your time, effort, and reputation toward the completion of goals.
  1. You encourage dynamic growth opportunities.
  1. You find unique ways to go around barriers to success.
If you were to make improvements in Entrepreneurship, what are your suggestions for how you can improve this?

Global Perspective

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You volunteer for experiences and assignments abroad.
  1. You attend training seminars and conferences to increase skills in working with others globally.
  1. You set the example for team on importance of cultural awareness.
  1. You create an environment where individual differences are valued and supported.
  1. You communicate effectively on a multi-lingual basis.
If you were to make improvements in Global Perspective, what are your suggestions for how you can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.