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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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



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Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains a strategic focus on external factors impacting the success of the company.
  1. Looks for opportunities to enhance contributions to the bottom line.
  1. Develops a strategic focus on internal factors to improve efficiency or conserve limited resources.
  1. Identifies ways in which the company is better able to meet the customers' needs than rivals.


Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Excellent at managing time.
  1. Stays focused even when under pressure and stress.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Maintains self-control when personally criticized.


Decision Making

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes good decisions for the department.
  1. Examines for patterns in data to help predict future possibilities.
  1. Understands how their decisions will affect others.
  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. Sits down regularly with employees to review their job performance.
  1. Sets specific, measurable, and challenging goals.
  1. Recognizes individual and team accomplishments and reward them appropriately.
  1. Provides resources to enable individuals to develop professionally.


Initiative

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Encourages others on the team to suggest process improvements.
  1. Is proactive when preparing for potential problems or critical events.
  1. Updates the documentation as soon as the situation changes.


Technical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Knows how to produce high quality products/work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Willingly shares information and expertise; sought out as resource by others


Negotiation

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Demonstrates emotional stability to facilitate productive problem-solving and relationship building.
  1. Maintains good interpersonal relationships with representatives from the other party.
  1. Influences others through rational argument and persuasion.
  1. Knows the current business/market environment.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is sincerely interested in the suggestions of co-workers
  1. Finds opportunities to recognize others.
  1. Makes people around them feel appreciated and valued.
  1. Readily shares credit and gives others opportunity for visibility.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Determines staffing needs for the project/department.
  1. Determines what supplies/equipment will be needed for the job.
  1. Develops plans to help manage expectations and project demands.
  1. Establishes a course of action for self and others to accomplish specific goals.


Punctuality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Avoids making personal phone calls during working hours.
  1. Conducts appointments at scheduled start time.
  1. Maintains an efficient schedule of activities.
  1. Invoices clients on a timely basis.



  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.