hr-survey.com

Safety - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Safety:
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. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be combined with the responses received from others and a report will be generated for you to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses, and will be not making any changes, click the Complete button.

Competencies Included:
Safety, Action, Punctuality, Analytical, Creativity, Achievement, Coaching, Business Acumen, Organizational Fluency
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.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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


Safety

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You mitigate hazards and safety issues that arise.
  1. You support safety programs and procedures.
  1. You develop safety guidelines for the department.
  1. You point out behaviors in others that may be unsafe.
  1. You are aware of osha safety guidelines.
  1. You participate in safety training when offered.
If you were to make improvements in Safety, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You motivate & supports others to gain skills
  1. You make effective decisions
  1. You drive and mobilizes others progress toward goals.
  1. You get the job done.
  1. You are not afraid to take corrective action when necessary.
  1. You do whatever it takes (within reason) to get the job done.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Punctuality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You maintain an efficient schedule of activities.
  1. You avoid making personal phone calls during working hours.
  1. You start meetings on time.
  1. You conduct appointments at scheduled start time.
  1. You arrive to meetings on time.
  1. You respond to requests for information in a timely manner.
If you were to make improvements in Punctuality, what are your suggestions for how you can improve this?

Analytical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You analyze data and information from several sources and arrives at logical conclusions.
  1. You implement data validation techniques and methods.
  1. You identify problems and issues needing resolution.
  1. You use appropriate techniques to solve problems.
  1. You analyze issues and reduces them to your component parts.
  1. You ask the "right" questions to size up or evaluate situations.
If you were to make improvements in Analytical, what are your suggestions for how you can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are creative and inspirational.
  1. You develop solutions to challenging problems.
  1. You inspire creativity in your team.
  1. You are creative.
  1. You add value to the department/organization.
  1. You conceive, implement and evaluate ideas.
If you were to make improvements in Creativity, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You follow-up and take action when goals are not met to ensure better results in the future.
  1. You schedule time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  1. You make a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. You set ambitious standards of performance.
  1. You are determined to complete tasks regardless of obstacles that may occur.
  1. You demonstrate a well-organized and timely approach to achieve desired results
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You develop the skills and capabilities of others.
  1. You help employees to maintain high personal standards.
  1. You provide clear, motivating, and constructive feedback.
  1. You help employees to understand responsibilities, authority, and expectations.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.
If you were to make improvements in Coaching, what are your suggestions for how you can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You consider impact of actions on other areas of the organization.
  1. You effectively develop and use resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. You ask the 'right' questions to size up or evaluate situations.
  1. You understand complex issues and problems.
  1. You are able to align resources to meet the business needs of the company.
  1. You exhibit behavior that is consistent with the vision, mission, and core values of the organization
If you were to make improvements in Business Acumen, what are your suggestions for how you can improve this?

Organizational Fluency

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You adept at navigating within the culture of the department.
  1. You understand departmental policies and procedures.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You are able to use corporate politics to advance department objectives.
  1. You anticipate problems that may affect the department.
  1. You are effective in communicating with others within the organization.
If you were to make improvements in Organizational Fluency, 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.