hr-survey.com

Vision- 360 Degree Feedback Survey Sample #3





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

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

Please ensure that your submission is made between . The survey will only be available during these dates.





Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Communicates the vision and strategy of [Company]
  1. Persuades others to follow the Company's vision.
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Develops action plans to align his/her work with the goals of the organization
Please feel free to provide any comments to help explain your answers?

Planning

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Anticipates obstacles and ways to overcome them.
  1. Delegates role to team members to accomplish goals.
  1. Able to identify the needs of the department before a major change.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
Please feel free to provide any comments to help explain your answers?

Passion To Learn

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Exhibits this
Competency
  1. Is open to feedback from others.
  1. Is committed to enhancing their own knowledge and skills.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Will participate in training classes even if offered outside of normal working hours.
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Competency
  1. Is able to manage their own emotions.
  1. Is able to control their own emotions.
  1. Able to understand others' points of view.
  1. Accurately perceives the emotional reactions of others.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Attempts to persuade others rather than simply control them.
  1. Communicates effectively with others.
  1. Understanding what others need.
  1. Seeks to obtain consensus or compromise.
  1. Persuades others to consider alternative points of view.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Completes multiple tasks simultaneously.
  1. Assigns tasks based on skills of team members.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Prioritizes tasks for efficiency.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Understands and is committed to implementing new technologies.
  1. Supports technical training and development of employees.
  1. Adopts the implementation of new technology into the workplace.
  1. Proficient in the use of technical systems and processes.
  1. Uses technology in decision making and problem solving.
Please feel free to provide any comments to help explain your answers?

Clarity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
Always
Exhibits this
Competency
  1. Is clear about the roles and duties of team members.
  1. Clearly explains the vision and goals of the company.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Avoids stating unclear or conflicting goals.
Please feel free to provide any comments to help explain your answers?

Trustworthy

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
Always
Exhibits this
Competency
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Consistently keeps commitments.
  1. Is trustworthy; is someone I can trust.
  1. Works in a way that makes others want to work with her/him.
  1. Builds and maintains the trust of others.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Maintains positive customer relationships.
  1. Considers customers point of view when making decisions.
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Develops strong customer relationships.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is open to new ideas that may change own goals for benefit of the team
  1. Communicates well with team members.
  1. Relates to all kinds of people tactfully
  1. Contributes to and supports team decision-making process
  1. Creates a culture that fosters and values collaboration.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.