Strategic Focus- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Strategic Focus:
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:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and discussed with the employee 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:
Strategic Focus, Strategic Insight, Results Oriented, Creativity, Cultural Awareness, Emotional Intelligence, Project Management, Innovation, Objectives, Conflict Management
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


Strategic Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates innovative strategies.
  1. Creates deadlines for various components of the strategy.
  1. Develops a strategic vision for the future.
  1. Is effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
  1. Maintains a strategic focus on external factors impacting the success of the company.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

Strategic Insight

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Inspires employees to adopt the strategic plan.
  1. Creates strategies that significantly benefit the Company.
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Recognizes the needs of customers.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

Results Oriented

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Willing to take on new assignments to help increase production.
  1. Highly motivated to complete tasks despite obstacles that may arise.
  1. Prioritizes tasks to best achieve the results.
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Determined to complete tasks regardless of obstacles that may occur.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops solutions to challenging problems.
  1. Is creative.
  1. Is creative and inspirational.
  1. Creates a lot of new ideas.
  1. Inspires creativity in their team.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Cultural Awareness

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Willing to work with employees who have different cultural backgrounds.
  1. Communicates with others without the influence of racism.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Respects the views offered by individuals with different cultural backgrounds.
  1. Seeks clarification to avoid misunderstandings.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Able to understand others' points of view.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to manage their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to control their own emotions.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Changes the implementation of specific phases of the project to mitigate certain risks.
  1. Meets with stakeholders to determine the requirements for the project.
  1. Regularly measures and records progress of the project.
  1. Identifies the potential risks for each phase of the project.
  1. Uses appropriate technology to efficiently communicate with team members.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Suggests new ideas at meetings.
  1. Creates a safe environment for idea-sharing.
  1. Finds creative ways to get things done with limited resources.
  1. Analyzes current procedures and identifies opportunities for improvement.
  1. Implements best practices within the department.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Objectives

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Consistently provides me with timely feedback for improving my performance.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Encourages me to take on greater responsibility.
  1. Sets long-term and short-term goals.
  1. Ability to establish realistic goals.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?

Conflict Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Identifies the root sources of conflict.
  1. Promotes a culture that values diverse perspectives.
  1. Able to persuade and influence others.
  1. Promotes employee engagement to reduce tensions and negativity, creating an environment where conflicts are easily managed.
  1. Combines ideas and viewpoints of different team members.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she 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.