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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. You spend majority of time working on "important and urgent" activities.
  1. You set important goals for the department.
  1. You keep track of progress toward the results.
  1. You direct team in prioritizing daily work activities
  1. You recognize the problem that needs to be solved.
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 use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. You are knowledgeable of procedures or systems necessary for the job.
  1. You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  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 seek information from others as needed.
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 respect other members of the team/department.
  1. You are able to work with individuals at all levels of the company.
  1. You strive to lead by example to demonstrate the value of interpersonal relationships.
  1. You keep and maintain confidentiality and trust.
  1. You demonstrate compassion and understanding of others.
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 present information in a clear and logical format.
  1. You are able to clarify complex or technical information.
  1. I communicate concepts and ideas to others.
  1. I communicate clearly and get to the point without unnecessary details.
  1. You communicate to employees how their jobs/ works/ goals relate to organizational goals.
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 are curious about learning new things.
  1. You build on your strengths while addressing your weaknesses.
  1. You participate in regular training offered.
  1. You pursue professional development opportunities when they arise.
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 support the successes of other employees.
  1. You create opportunities for professional development.
  1. You try to ensure employees are ready to move to the next level.
  1. You are open to receiving feedback.
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 provide accurate, timely, and (where appropriate) positive feedback.
  1. You hold team members accountable to commitments made
  1. You empower others to succeed within your jobs.
  1. You provide structure.
  1. You are able to increase the performance of under-performing employees.
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 develop a good rapport with others.
  1. You seek to obtain consensus or compromise.
  1. You ensure stakeholders are involved in the decision making process.
  1. You understand what others need.
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 follow tasks to completion.
  1. You maintain the confidentiality of others.
  1. You do what was promised.
  1. You deliver on promises and meets obligations.
  1. You maintain strong relationships with 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 adopt and implement best practices when it comes to quality procedures.
  1. I set benchmarks for quality improvements.
  1. I maintain detailed instructions to ensure consistency and quality in the production line.
  1. You adjust processes or procedures to improve quality results.
  1. You ensure high consistency across batches or production runs.
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 seek and utilize mentors to help guide your professional development.
  1. You can work effectively in an environment of uncertainty.
  1. You take the initiative to complete tasks.
  1. You believe in your vision for the department/organization.
  1. You balance risks and rewards when making decisions.
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 communicate effectively on a multi-lingual basis.
  1. You can effectively deliver presentations to international clients.
  1. You accept setbacks and challenges in foreign markets as improvement opportunities
  1. You demonstrate a curiosity about diverse individuals and cultures.
  1. You volunteer for experiences and assignments abroad.
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.