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HR-Survey > 360-Degree Feedback > Competency Model > Vision Skills

Vision- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Vision:
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:

[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:
Vision, Action, Attitude, Management, Project Management, Analytical, Juggling Multiple Responsibilities, Achievement, Excellence, Co-worker Development, Recognition
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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Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates an ambitious and aspirational vision for the company.
  1. Detects problems early on and creates well-thought-out solutions to ensure the company continues to progress smoothly.
  1. Develops a vision to empower employees to make more effective decisions.
  1. Crafts a compelling vision that motivates employees to align their efforts with the organization's goals.
  1. Inspires employees to support the departmental vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Acts quickly to create innovative products and services.
  1. Prevents small issues from becoming critical incidents.
  1. Makes decisions confidently and stands by them.
  1. Ensures timely completion of tasks.
  1. Anticipates critical incidents in the department and takes steps to mitigate their effect.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Contributes to a positive and fun work environment.
  1. Treats all people fairly and with respect.
  1. Visibly supports and encourages diversity in style and background.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Shows by their actions that they trust in the positive intentions of others.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Delegate tasks effectively
  1. Is ready to offer help
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Has detailed knowledge about the project and can adapt the project plan as needed.
  1. Ensures that the project remains at or under budget.
  1. Ensures work is completed to the appropriate standards.
  1. Changes the implementation of specific phases of the project to mitigate certain risks.
  1. Determines the correct order for the phases of the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Analytical

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands complex issues and problems.
  1. Able to interpret financial data, reports, balance sheets, and cash flow analysis.
  1. Determines the relevance and accuracy of information.
  1. Understands the importance of maintaining current, accurate information.
  1. Uses standard data collection practices.
If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Spends the most time and effort on critical tasks first.
  1. Assigns tasks based on skills of team members.
  1. Switches attention to more urgent tasks when necessary.
  1. Completes multiple tasks simultaneously.
  1. Prioritizes tasks for efficiency.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets performance metrics to measure achievement or attainment of goals.
  1. Takes immediate action of projects that fall behind schedule.
  1. Works at a quick pace to complete a high volume of work.
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
  1. Demonstrates the analytical skills to do their job.
  1. Produces high quality work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Co-worker Development

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
  1. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Provides ongoing feedback to co-workers on their development progress
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?

Recognition

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Recognizes individuals for a specific outstanding achievement.
  1. Compliments other people when they do good work
  1. Recognizes the abilities and skills of self and others
  1. Offers recognition in a timely manner.
  1. Says "thank you" to show appreciation for work of others.
If [Participant Name] were to make improvements in Recognition, 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.