hr-survey.com

Safety - 360 Degree Feedback Survey Sample #2





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

You have been selected to provide feedback on the employee listed above. 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 working with this employee over the last twelve months and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Safety, Continual Learning, Attitude, Establishing Focus/Direction, Persuasion and Influence, Problem Solving, Juggling Multiple Responsibilities, Commitment To Result, Clarity, Client Focus, Company
Sample Result Document:
Sample Results
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.

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


Safety

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Encourages others to attend safety training.
  1. Points out behaviors in others that may be unsafe.
  1. Works to implement corrective safety measures.
  1. Develops a sustainable safety culture.
  1. Develops a culture of safety.
What are your suggestions for how [Participant Name] can make improvements
in Safety?

Continual Learning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Pursues self-improvement through continual learning.
  1. Sets relevant learning objectives and goals.
  1. Builds on their strengths while addressing their weaknesses.
  1. Pursues learning that will enhance job performance.
  1. Participates in regular training offered.
What are your suggestions for how [Participant Name] can make improvements
in Continual Learning?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Builds open and trusting relationships.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Treats all people fairly and with respect.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Is gracious and professional in their interactions with others.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Helps guide employees with prioritizing tasks.
  1. Sets appropriate goals for employees.
  1. Aligns the department's goals with the goals of the organization.
What are your suggestions for how [Participant Name] can make improvements
in Establishing Focus/Direction?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understanding what others need.
  1. Able to express own goals and needs.
  1. Has excellent influencing/negotiating skills.
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ability to develop innovative solutions to problems.
  1. Identifies and assesses all potential responses to a problem.
  1. Makes judgments based upon relevant information.
  1. Works cooperatively with others to solve problems.
  1. Solves problems using logic and insight.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Switches attention to more urgent tasks when necessary.
  1. Keeps track of multiple assignments and deadlines.
  1. Determines which tasks are critical and which tasks are optional.
  1. Can multitask while performing all of their other responsibilities and activities.
What are your suggestions for how [Participant Name] can make improvements
in Juggling Multiple Responsibilities?

Commitment To Result

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Maintains persistence and dedication to achieving results.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
  1. Committed to the team.
  1. Coordinates all department activities into a cohesive team effort.
What are your suggestions for how [Participant Name] can make improvements
in Commitment To Result?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Makes sure employees understand why they were given certain assignments.
  1. Avoids creating ambiguity or mixed messages.
  1. Clearly explains responsibilities to individuals.
  1. Clearly defines work objectives for employees.
  1. Is clear about the roles and duties of team members.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Forms strong client relationships
  1. Ensures client commitments and requirements are met or exceeded
  1. Satisfies client needs.
What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Follows existing procedures and processes.
  1. Understands the use of [Company] products and services.
  1. Attends [Company] gatherings and social events.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
What are your suggestions for how [Participant Name] can make improvements
in Company?


  1. Strengths


  2. Areas for Development


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