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Strategic Focus- 360 Degree Feedback Survey Sample #5





360-Degree Assessment 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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team



Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  1. Looks for opportunities to enhance contributions to the bottom line.
  1. Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
  1. Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.


Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Maintains self-control when personally criticized.
  1. Sets appropriate goals for employees.
  1. Aligns the department's goals with the goals of the organization.


Decision Making

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Asks for additional information when making critical decisions.
  1. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action


Leadership

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Gives inspiring presentations or discussions.
  1. Takes ownership and accountability for results
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Gives direct, constructive, and actionable feedback.


Initiative

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Goes above and beyond the stated goals.
  1. Takes the initiative to change the direction or course of events.
  1. Takes action without being asked.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Willingly shares information and expertise; sought out as resource by others
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Knows how to produce high quality products/work.


Negotiation

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Actively listens to conversations to be able to recall important details later.
  1. Able to adapt to changing situations.
  1. Establishes clear communications to avoid misunderstandings.
  1. Stays calm and focuses on the core issues to be discussed.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Readily shares credit and gives others opportunity for visibility.
  1. Makes people around them feel appreciated and valued.
  1. Says "thank you" to show appreciation for work of others.
  1. Lets employees know when they have done well


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Works in an organized manner
  1. Makes plans and follows through.
  1. Delegates role to team members to accomplish goals.
  1. Able to identify the needs of the department before a major change.


Punctuality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Avoids making personal phone calls during working hours.
  1. Responds to requests for information in a timely manner.
  1. Starts meetings on time.
  1. Maintains an efficient schedule of activities.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


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