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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

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 recognize the problem that needs to be solved.
  1. You pursues performance benchmarks despite obstacles and setbacks.
  1. You give extra effort to solve problems and get work done on time.
  1. You set important goals for the department.
  1. I complete all assigned tasks.
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 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.
  1. You are knowledgeable of procedures or systems necessary for the job.
  1. You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. You demonstrate mastery of the technical competencies required in your work.
  1. You willingly share your technical expertise; sought out as resource by others
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. You give good advice and suggestions to coworkers.
  1. You a good listener who is attentive to others. I am a good listener who is attentive to others.
  1. You understand the core issues of conversations.
  1. I am someone you can trust.
  1. You see value in the diversity of individuals on the team.
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 and deliver effective presentations that are influential.
  1. I deconstruct complex issues into understandable segments.
  1. I report progress on goals to the supervisor.
  1. You inform others about changes or developments in plans and goals.
  1. I communicate clearly and get to the point without unnecessary details.
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 are introspective and aware of your own learning needs.
  1. You pursue professional development opportunities when they arise.
  1. You pursue learning that will enhance job performance.
  1. You take the initiative to learn new skills.
  1. You seek opportunities to grow in skills and knowledge.
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 encourage employees through recognition of positive changes in behavior.
  1. You try to ensure employees are ready to move to the next level.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You create opportunities for professional development.
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 sit down regularly with employees to review your job performance.
  1. You effectively lead others.
  1. You actively listen for feedback from subordinates.
  1. You express clear goals and objectives.
  1. You influence department
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 communicate effectively with others.
  1. You seek to obtain consensus or compromise.
  1. You attempt to persuade others rather than simply control them.
  1. You persuade others to consider alternative points of view.
  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 demonstrate sincerity in actions with others.
  1. You are consistently open and honest with others.
  1. You maintain strong relationships with others.
  1. You do what was promised.
  1. You maintain the confidentiality of others.
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. I ensure the hiring of employees who are dedicated to delivering exceptional quality in every aspect of their work.
  1. I adopt and implement best practices when it comes to quality procedures.
  1. You design effective quality control systems.
  1. You promote quality improvement practices in the department.
  1. You investigate critical incidents that impact quality.
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 find unique ways to go around barriers to success.
  1. You seek and utilize mentors to help guide your professional development.
  1. You believe in your vision for the department/organization.
  1. You know when to listen to the advice of others.
  1. You understand the processes and various stages of business development.
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 are able to listen and understand others and discuss issues in a respectful way.
  1. You communicate effectively on a multi-lingual basis.
  1. You demonstrate working knowledge of global transactions.
  1. You respect individual differences.
  1. You demonstrate a curiosity about diverse individuals and cultures.
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.