Technical Skills - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Technical Skills:
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)
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.

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


Technical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. You know how to produce high quality products/work.
  1. You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  1. You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. You willingly share information and expertise; sought out as resource by others
If you were to make improvements in Technical, what are your suggestions for how you can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You produce high quality work.
  1. You demonstrate the functional or technical skills necessary to do your job.
  1. You keep yourself and others focused on constant improvement.
  1. You take a lot of pride in your work.
  1. You demonstrate the analytical skills to do your job.
If you were to make improvements in Excellence, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You continually try to improve skills to remain current.
  1. You develop insights and apply innovative solutions to projects and problems.
  1. You are aware of changes to the policies and procedures.
  1. You recognize and implement changes to enhance efficiency and effectiveness.
  1. You will stop what you are doing to help colleagues in need.
If you were to make improvements in Adaptability, what are your suggestions for how you can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You set clear goals and objectives for subordinates.
  1. You recognize individual and team accomplishments and reward them appropriately.
  1. You hold others accountable for your actions.
  1. You motivate and challenges employees to attain a shared vision.
  1. You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Persuasion and Influence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You persuade others to consider alternative points of view.
  1. You understand what others need.
  1. You attempt to persuade others rather than simply control them.
  1. You communicate effectively with others.
  1. You have excellent influencing/negotiating skills.
If you were to make improvements in Persuasion and Influence, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I gather information before making a decision.
  1. You act confidently in the absence of guidance.
  1. You decide which long-term goals should be met.
  1. I regularly evaluate information before making important decisions.
  1. You support, encourage or help others to be sure about the decisions they are making.
If you were to make improvements in Decision Making, what are your suggestions for how you can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You coordinate the work of a team by assigning tasks to other team members.
  1. You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. You plan and organize continuously while performing all other responsibilities and activities.
  1. You rank the importance of tasks to make sure critical tasks are completed first.
  1. You observe, analyze, and respond to merchandise needs while serving customers and accomplishing operational tasks.
If you were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how you can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You rapidly complete tasks and assignments.
  1. You use established goals and performance measures to keep track of performance.
  1. I was able to increase production by 20 percent.
  1. You follow-up and take action when goals are not met to ensure better results in the future.
  1. You are results oriented.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You take ownership, deliver on commitments
  1. You deliver on promises made.
  1. You take care to maintain confidential information.
  1. You communicate an understanding of the other person's interests, needs and concerns.
  1. You build and maintain the trust of others.
If you were to make improvements in Trustworthy, what are your suggestions for how you can improve this?

Recognition

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You reinforce and reward employees for accomplishing necessary goals.
  1. You are sincerely interested in the suggestions of co-workers
  1. You make people around them feel appreciated and valued.
  1. You recognize the abilities and skills of self and others
  1. You recognize team members who offer a significant contribution to a project.
If you were to make improvements in Recognition, what are your suggestions for how you can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You monitor expenses and verify the need for items purchased.
  1. You keep excellent records for financial transparency.
  1. You develop of the department's annual budget.
  1. You provide budgeting and accounting support to the Company.
  1. You are effective in using company's resources.
If you were to make improvements in Fiscal Management, 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.