hr-survey.com

Achievement - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Achievement:
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.

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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Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You take calculated risks.
  1. You demonstrate tenacity in completing tasks regardless of shift circumstances.
  1. You turn setbacks into learning opportunities.
  1. You execute tasks with precision and speed.
  1. I instill a shared sense of urgency and purpose in others, driving collective progress.
  1. I operate with relentless drive, consistently meeting and surpassing deadlines.
  1. You are flexible in adjusting priorities to meet the demands of changing situations.
  1. You respond to evolving demand by adjusting priorities ensuring continued progress.
  1. You follow-up and take action when goals are not met to ensure better results in the future.
If you were to make improvements in Achievement, what are your suggestions for how you can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I am well respected in the department.
  1. I follow up on inquiries in a timely manner.
  1. I respond quickly to inquiries from potential customers.
  1. You demonstrate an understanding of other points of view.
  1. I show appreciation for other's work.
  1. I am thoughtful and honest about the feedback I give others.
If you were to make improvements in Interpersonal Skills, what are your suggestions for how you can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You show employees where they need to develop
  1. I offer guidance and perspective without being prescriptive.
  1. You ask open-ended questions to create inspiration and innovation.
  1. You offer coaching at the appropriate times.
  1. I offer coaching when it is needed.
  1. You help the employee to understand the present situation in detail
If you were to make improvements in Coaching, what are your suggestions for how you can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You defy conventions and the "normal" way of doing things.
  1. You identify issues that need to be addressed.
  1. You have clarity of purpose in your actions.
  1. You seek and utilize mentors to help guide your professional development.
  1. You are comfortable operating in an environment of uncertainty.
  1. You risk your time, effort, and reputation toward the completion of goals.
If you were to make improvements in Entrepreneurship, what are your suggestions for how you can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I ensure that the team's tasks align with its overall objectives.
  1. I leverage skills and resources to exceed performance expectations.
  1. You anticipate critical incidents in the department and take steps to mitigate their effect.
  1. You set high standards for yourself and others.
  1. I take action to respond to dissatisfied customers.
  1. You adapt your approach in order to overcome significant obstacles.
If you were to make improvements in Action, what are your suggestions for how you can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You pursue professional development opportunities when they arise.
  1. You continue to ask questions about process and systems to further improve own knowledge.
  1. You participate in regular training offered.
  1. You are curious about learning new things.
  1. You expand your educational and future learning opportunities.
  1. You share best practices with others and learn from others.
If you were to make improvements in Continual Learning, what are your suggestions for how you can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. You are able to adapt to new environments.
  1. You are able to adjust to changing environments.
  1. You anticipate changes in the work environment.
  1. I work with managers who may focus on different areas.
  1. You use tools in innovative ways to solve problems.
  1. You pivot quickly in response to shifting project needs.
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 focus team efforts on meeting the needs of the customers.
  1. You provide feedback that is specific, clear, and tie to observable behaviors.
  1. You lead team to achieve consensus, solve problems, and accomplish tasks.
  1. You encourage creativity and expect innovative contributions from everyone.
  1. You respond to performance feedback, identifying development opportunities (i.e., training) related to current job
  1. I avoid vague statements; instead, explaining what works and why or what needs improvement and how.
If you were to make improvements in Leadership, what are your suggestions for how you can improve this?

Decision Making

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. I am able to learn from my mistakes.
  1. I evaluate both immediate outcomes and future effects to ensure sustainable choices.
  1. You ask for additional information when making critical decisions.
  1. I make creative decisions.
  1. You use reasonable assumptions and logic to decide between alternate courses of action
  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?

  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.