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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.

Competencies Included:
Technical, Excellence, Adaptability, Leadership, Persuasion and Influence, Decision Making, Juggling Multiple Responsibilities, Achievement, Trustworthy, Recognition, Fiscal Management
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
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Technical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You willingly share information and expertise; sought out as resource by others
  1. You seek information from others as needed.
  1. You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  1. You are knowledgeable of procedures or systems necessary for the job.
  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.
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 demonstrate the analytical skills to do your job.
  1. You keep yourself and others focused on constant improvement.
  1. You are planful and organized.
  1. You produce high quality work.
  1. You take a lot of pride in your work.
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 can adjust priorities to the new Corporate mission.
  1. You are flexible and open minded in dealing with others.
  1. You are able to adjust to new plans and procedures.
  1. You can take on new assignments.
  1. You are willing to change ideas or perceptions based on new information or contrary evidence which is presented.
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 take ownership and accountability for results
  1. You are a highly effective supervisor.
  1. You provide resources to enable individuals to develop professionally.
  1. You recognize individual and team accomplishments and reward them appropriately.
  1. You guide decision-making by coaching, counseling and rewarding.
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 are able to express own goals and needs.
  1. You develop a good rapport with others.
  1. You seek to obtain consensus or compromise.
  1. You communicate effectively with others.
  1. You attempt to persuade others rather than simply control them.
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 am creative about the decisions I make.
  1. You seek input from key people who should be involved in, or will be affected by, decisions
  1. You determine the constraints that may impact what decisions are acceptable.
  1. You determine the costs and potential benefits of decisions.
  1. I am able to make decisions quickly.
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 prioritize tasks for efficiency.
  1. You complete multiple tasks simultaneously.
  1. You are aware of the deadlines for specific tasks/assignments.
  1. You switch attention to more urgent tasks when necessary.
  1. You determine which tasks are critical and which tasks are optional.
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 take immediate action of projects that fall behind schedule.
  1. I take calculated risks to achieve difficult goals.
  1. You use established goals and performance measures to keep track of performance.
  1. You hold others to high standards of achievement.
  1. I am highly motivated to achieve performance goals.
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 demonstrate congruence between statements and actions.
  1. You take ownership, deliver on commitments
  1. You communicate an understanding of the other person's interests, needs and concerns.
  1. You deliver on promises made.
  1. You are a person others can count on.
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 let employees know when they have done well
  1. You readily share credit and gives others opportunity for visibility.
  1. You compliment other people when they do good work
  1. You recognize team members who offer a significant contribution to a project.
  1. You recognize the abilities and skills of self and others
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 keep excellent records for financial transparency.
  1. You monitor expenses and verify the need for items purchased.
  1. You develop of the department's annual budget.
  1. You provide budgeting and accounting support to the Company.
  1. You monitor spending.
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.