Strategic Insight- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Strategic Insight:
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 for Employees Participating in the 360-Feedback Assessment:

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

You have been selected to receive feedback from a group of others. As part of this process, you will need to complete a self-assessment questionnaire at this time. 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 over the last 12 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 combined with the responses received from others and a report will be generated for you 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 Insight, Fiscal Management, Action, Continual Learning, Performance, Goals, Juggling Multiple Responsibilities, Excellence, Customer Focus, Developing Others, Teamwork
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 Insight

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You maintain knowledge of current trends in the industry.
  1. You anticipate business cycles and trends and makes adjustments in a timely manner.
  1. I develop a strategic vision for the future.
  1. You let employees know how their roles contribute toward the achievement of strategic company objectives.
  1. You strategically align projects to the goals of the company.
If you were to make improvements in Strategic Insight, what are your suggestions for how you can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You develop of the department's annual budget.
  1. You monitor expenses and verify the need for items purchased.
  1. You develop budgets and plans for various programs and initiatives.
  1. You ensure others follow the correct rules and regulations on fiscal matters.
  1. You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
If you were to make improvements in Fiscal Management, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I immediately develop alternatives and solutions when presented with a problem or issue.
  1. You set high standards for yourself and others.
  1. I take the initiative and do not wait for the situation to change.
  1. I take responsibility for meeting performance standards.
  1. I take action when opportunities arise.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You set relevant learning objectives and goals.
  1. I view setbacks as opportunities to learn from.
  1. You pursue professional development opportunities when they arise.
  1. You grasp new ideas, concepts, technical, or business knowledge.
  1. You participate in regular training offered.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You effectively organize resources and plans
  1. You shown significant improvement in job performance.
  1. You listen and respond to issues and problems
  1. You set a high standard for job performance.
  1. You are able to organize work.
If you were to make improvements in Performance, what are your suggestions for how you can improve this?

Goals

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You make sure that team members have a clear idea of our group's goals.
  1. You make sure that I have a clear idea of our group's goals.
  1. You understand and contribute to development of strategic goals.
  1. You achieve established goals.
  1. You conduct timely follow-up; keeps others informed on a need to know basis.
If you were to make improvements in Goals, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are aware of the deadlines for specific tasks/assignments.
  1. You build in extra time in the schedule for unplanned events/occurrences.
  1. You organize tasks for the most efficient order of completion.
  1. You assess current capabilities before committing to new requests from customers.
  1. You plan and organize continuously while performing all other responsibilities and activities.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You take a lot of pride in your work.
  1. You produce high quality work.
  1. You are planful and organized.
  1. You demonstrate the analytical skills to do your job.
  1. You can be counted on to add value wherever you are involved.
If you were to make improvements in Excellence, what are your suggestions for how you can improve this?

Customer Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use feedback from the customer to help improve the customer's experience.
  1. You obtain feedback to ensure customer needs are being met.
  1. You view customer satisfaction as an everyday priority.
  1. I prioritize customer issues based on urgency.
  1. I meet with customers on a regular basis.
If you were to make improvements in Customer Focus, what are your suggestions for how you can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You try to ensure employees are ready to move to the next level.
  1. You encourage employees through recognition of positive changes in behavior.
  1. You create a work environment that fosters positive feedback to employees.
  1. You assign tasks and responsibilities to develop skills of others.
If you were to make improvements in Developing Others, what are your suggestions for how you can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I focus on understanding the other team member's message.
  1. I establish good rapport with team members.
  1. I facilitate effective decision-making practices to further develop the team.
  1. You foster teamwork rather than individual competition
  1. You relate to all kinds of people tactfully
If you were to make improvements in Teamwork, what are your suggestions for how you 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.