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 have conversations with customers and clients to get a better insight into their personal needs.
  1. You formulate policies and strategies for addressing the Company's important challenges.
  1. You create strategies that significantly benefit the Company.
  1. I develop a strategic vision for the future.
  1. You anticipate business cycles and trends and makes adjustments in a timely manner.
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 provide budgeting and accounting support to the Company.
  1. You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. You ensure others follow the correct rules and regulations on fiscal matters.
  1. You are effective in using company's resources.
  1. You monitor expenses and verify the need for items purchased.
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. You undertake actions to achieve specific goals.
  1. I convert plans into actions.
  1. I act quickly to create innovative products and services.
  1. I take steps to prepare for the start of the project.
  1. You take corrective action when necessary.
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 share best practices with others and learn from others.
  1. You take the initiative to learn new skills.
  1. You grasp new ideas, concepts, technical, or business knowledge.
  1. You pursue learning that will enhance job performance.
  1. You are open to new ideas and concepts.
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 work effectively in the department.
  1. You are effective in performing your job.
  1. You have great overall performance
  1. You are able to organize work.
  1. You work well in this position.
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 understand and contribute to development of strategic goals.
  1. You achieve goals.
  1. You set high expectations and goals; encourages others to support the organization.
  1. You establish and document goals and objectives.
  1. You set challenging stretch goals
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 switch attention to more urgent tasks when necessary.
  1. You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
  1. You complete multiple tasks simultaneously.
  1. You begin tasks as soon as possible.
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 are planful and organized.
  1. You take a lot of pride in your work.
  1. You produce high quality work.
  1. You demonstrate the analytical skills to do your job.
  1. You demonstrate the functional or technical skills necessary to do your job.
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 promote, implement, maintain and enhances relationships with customers.
  1. I keep the customer informed of all progress.
  1. You are aware of the customer's needs.
  1. I am available to respond to customer needs.
  1. I identify opportunities that enhance the customer's experience.
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 try to ensure employees are ready to move to the next level.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You support the successes of other employees.
  1. You are open to receiving feedback.
  1. You assess employees' developmental needs.
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. You emphasize the importance of getting individuals to work as a team
  1. You listen to the opinions of other team members.
  1. You actively participates in the work of teams; seek and listen to others' contributions
  1. You demonstrate compassion and respect for others through actions; is concerned about their work and non-work issues
  1. You identify and resolves conflicts within the team to increase team effectiveness
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.