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. Develops a strong safety culture.
  1. Participates in safety training when available.
  1. Keeps accurate safety records.
  1. Seeks to reduce the likelihood of accidents.
  1. Is aware of OSHA safety guidelines.
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. Participates in regular training offered.
  1. Is open to new ideas and concepts.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Improves on their skill sets.
  1. Views setbacks as opportunities to learn from.
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. Contributes to a positive and fun work environment.
  1. Visibly supports and encourages diversity in style and background.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Contributes to a positive work environment.
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. Helps guide employees with prioritizing tasks.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Stays focused even when under pressure and stress.
  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. Attempts to persuade others rather than simply control them.
  1. Able to express own goals and needs.
  1. Communicates effectively with others.
  1. Persuades others to consider alternative points of view.
  1. Ensures stakeholders are involved in the decision making process.
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. Finds creative ways to get things done with limited resources.
  1. Makes judgments based upon relevant information.
  1. Ability to develop innovative solutions to problems.
  1. Generates alternative solutions to problems and challenges.
  1. Understands the root causes of problems.
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. Completes multiple tasks simultaneously.
  1. Prioritizes tasks for efficiency.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
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. Committed to the team.
  1. Coordinates all department activities into a cohesive team effort.
  1. Able to focus on a task even when working alone.
  1. Creates a sense of urgency among the store team members to complete activities, which drive sales.
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. Communicates ideas and facts clearly and effectively in writing.
  1. Clearly defines work objectives for employees.
  1. Uses appropriate grammar and tense in communications.
  1. Checks details thoroughly.
  1. Clarifies problems and their causes to help employees correct them.
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. Creates customized solutions for the client.
  1. Follows up with any unanswered questions from the client.
  1. Is focused on improving client services.
  1. Views client satisfaction as an everyday priority.
  1. Maintains strong relationships with clients.
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 how decisions impact other business units beyond their immediate department of work group.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Impresses upon others the important aspects of [Company].
  1. Attends [Company] gatherings and social events.
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.