Trustworthy - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Trustworthiness:
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:

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

You have been selected to provide feedback on the employee listed above. 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 working with this employee over the last twelve 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 aggregated with the responses received from others and discussed with the employee 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:
Trustworthy, Decision Making, Action, Developing Others, Continual Improvement, Feedback, Attitude, Performance, Problem Solving, Achievement, Regulatory/Compliance, Business Acumen
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


Trustworthy

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes ownership, delivers on commitments
  1. Takes care to maintain confidential information.
  1. Delivers on promises made.
  1. Consistently keeps commitments.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Carefully evaluates information before making an important decision.
  1. Evaluates information before making a final decision.
  1. Remains focused on the immediate goal when making decisions.
  1. Outlines the parameters influencing the decision making process.
If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Assigns tasks to individuals who are most able to perform them.
  1. Works quickly when faced with difficult problems.
  1. Acts immediately instead of waiting for someone else to solve the issue.
  1. Gets the job done.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Developing Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Provides constructive feedback to others.
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Creates a work environment that fosters positive feedback to employees.
If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Continual Improvement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand current job responsibilities.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?

Feedback

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Considers other's opinion and suggestions.
  1. Is visible and approachable.
  1. Asks others for their ideas and opinions.
  1. Seeks feedback to enhance performance.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Treats all people fairly and with respect.
  1. Builds open and trusting relationships.
  1. Visibly supports and encourages diversity in style and background.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. ...Produce Quality
  1. ...Overall Performance
  1. Sets a high standard for job performance.
  1. Works well in this position.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Problem Solving

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Generates alternative solutions to problems and challenges.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Identifies and assesses all potential responses to a problem.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets challenging goals for the department.
  1. Takes reasonable risks to achieve desired results.
  1. Completes work to a high technical standard
  1. Demonstrates a well-organized and timely approach to achieve desired results
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Regulatory/Compliance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Offers training to employees to ensure they are complying with regulations.
  1. Understands the applicable regulations and laws that impact our business.
  1. Coordinates the execution of compliance strategies across departments.
  1. Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Interprets data to make informed business decisions.
  1. Understands consumer behaviors and how they may change in the future.
  1. Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
  1. Identifies new business opportunities.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she 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.