hr-survey.com

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)
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


Vision

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Creates a positive vision of the future for the Company.
  1. Leads employees in new directions.
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Works to support the strategy of [Company]
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. Drives and mobilizes others progress toward goals.
  1. Is not afraid to take corrective action when necessary.
  1. Makes effective decisions, even when under pressure.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Works quickly when faced with difficult problems.
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. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Treats all people fairly and with respect.
  1. Is gracious and professional in their interactions with others.
  1. Builds open and trusting relationships.
  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. Delegate tasks effectively
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
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. Defines project outcomes based on customer requirements.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Develops performance measures for various aspects of the project.
  1. Regularly reviews project performance and goals.
  1. Maintains costs and expenses within budget limits.
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. Identifies problems and issues needing resolution.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Selects the appropriate techniques for analysis.
  1. Implements data validation techniques and methods.
  1. Prioritizes various actions to be taken when solving a problem.
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. Switches attention to more urgent tasks when necessary.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
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. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Demonstrates improvement in performance.
  1. Eliminates bureaucratic barriers to streamline processes.
  1. Inspires others to work with a sense of urgency.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
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. Takes a lot of pride in their work.
  1. Demonstrates the analytical skills to do their job.
  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. Keeps themselves and others focused on constant improvement.
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. Provides ongoing feedback to co-workers on their development progress
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
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. Says "thank you" to show appreciation for work of others.
  1. Recognizes team members who offer a significant contribution to a project.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Offers recognition in a timely manner.
  1. Makes people around them feel appreciated and valued.
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.