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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.

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
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Results Oriented

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I break down long-term goals into short-term milestones with clear timelines.
  1. I model resilience by bouncing back quickly from disappointments.
  1. You direct team in prioritizing daily work activities
  1. You encourage open dialogue to surface new ideas and pivot strategies collaboratively.
  1. You provide clear expectations for employees.
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 seek information from others as needed.
  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.
  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 recognize the contributions of others.
  1. You are open to innovative ideas and suggestions from others
  1. I consider the other individual's point of view.
  1. You give good advice and suggestions to coworkers.
  1. You receive feedback (both positive and negative) in a constructive manner.
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 share concepts and ideas with others.
  1. I facilitate seamless communication across all management levels.
  1. You write appropriately within organizational guidelines and values.
  1. You communicate effectively with all levels of the organization.
  1. I effectively engage with everyone from the CEO to external partners.
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 share best practices with others and learn from others.
  1. You seek opportunities to grow in skills and knowledge.
  1. You participate in regular training offered.
  1. You continue to ask questions about process and systems to further improve own knowledge.
  1. You improve on your skill sets.
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 set performance objectives for subordinates that encourages development opportunities.
  1. You encourage employees through recognition of positive changes in behavior.
  1. You create a work environment that fosters positive feedback to employees.
  1. You assign tasks and responsibilities to develop skills of others.
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 gain cooperation, support, and buy-in of others.
  1. I do not settle for mediocrity and quickly address underperformance.
  1. You help co-workers/teams understand the vision and priorities of the company, area, and market.
  1. You provide feedback that is specific, clear, and tie to observable behaviors.
  1. You establish a sense of order and control in the branch; co-workers know your roles
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. I advocate for what is right-not just what is popular-while respect opposing views.
  1. You gather data and stakeholder perspectives in advance to anticipate resistance and tailor persuasive approaches.
  1. You gain acceptance from employees for new ways of working.
  1. I am able to influence others to meet certain goals.
  1. You work to persuade 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. I am highly productive by efficiently managing time and resources to contribute significantly to the team's goals.
  1. I am open and honest in disclosing both good news and the bad.
  1. I show respect and tolerance for others with different beliefs demonstrating integrity as a core value.
  1. You take ownership for the process and outcomes.
  1. You show respect for individuals by addressing any concerns or feedback directly with them rather than discussing them behind their backs.
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 develop processes to enhance quality standards.
  1. I systematically and thoroughly inspect products for consistency in meeting specifications.
  1. You identify strategies and their associated risks to improve quality.
  1. I influence others to achieve high quality standards.
  1. You set high benchmarks for employees to achieve.
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 encourage dynamic growth opportunities.
  1. You seek and utilize mentors to help guide your professional development.
  1. You identify issues that need to be addressed.
  1. You are able to adapt the department to changing business demands and climate.
  1. You defy conventions and the "normal" way of doing things.
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 analyze global issues/problems that are having a large impact on the Company.
  1. You demonstrate a curiosity about diverse individuals and cultures.
  1. You have positive interactions with individuals from different cultures and backgrounds.
  1. You accept setbacks and challenges in foreign markets as improvement opportunities
  1. You create an environment where individual differences are valued and supported.
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.