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HR-Survey > 360-Degree Feedback > Competency Model > Employee Relations

Employee Relations- 360 Degree Feedback Survey Sample #4

November 2, 2025

Dear Employee:
Surveys Measuring Employee Relations:
Survey 1 (4-point scale; Competency Comments)
Welcome to our 360-Degree Feedback Assessment of [Participant Survey 2 (4-point scale; Competency Comments)
Name]. Our objective is to provide feedback which will help Survey 3 (5-point scale; Competency Comments)
advance his/her leadership skills and capabilities. We are asking you Survey 4 (5-point scale; radio buttons)
to take time to respond to this survey to help us identify where we Survey 5 (4-point scale; words)
are doing well and where we have opportunities to do better. Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
We have developed this survey with questions tailored for Survey 8 (3-point scale; Agree/Disagree words; N/A)
[Participant Name]'s position in the department to provide you Survey 9 (3-point scale; Strength/Development; N/A)
with an opportunity to anonymously rate many facets of his/her Survey 10 (Comment boxes only)
leadership performance. The survey will assess what you value most Survey 11 (Single rating per competency)
in their leadership skills and allow you to make positive suggestions Survey 12 (Slide-bar scale)
for improvement. Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)

Competencies Included:
Employee Relations, Partnering/Networking, Others, Bias
for Action, Continual Improvement, Punctuality, Managing
Performance, Quality

Please be honest, constructive and thoughtful in your responses. The

results of this survey will be used to help drive our future success. If Sample Result Document:
you have any questions about the process please contact [Contact Sample Results
Person].

Please ensure that your submission is made between November 3 and November 16. 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

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the
survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you
do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to
respond to all items on the questionnaire.

Needs Capable
Significant and Role
Employee Relations Development Effective Model
1 2 3 4 5

1. Works to ensure that Management and Labor trust

each other.

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 2. Communicates regularly with employees.

3. Identifies and mitigates safety risks in the workplace.

4. Provides guidance and support while allowing

employees the freedom to execute tasks
independently.

5. Uses feedback from all involved parties to guide

conflict resolution decisions.

Needs Capable
Significant and Role
Partnering/Networking Development Effective Model
1 2 3 4 5

6. Hosts forums, colloquiums, and seminars to share

information and ideas.

7. Plans and engages resources to the partnership effort

while monitoring and evaluating progress and
achievements.

8. Actively prevents conflicts by identifying issues early

and resolving them promptly.

9. Networks with other professionals in the industry to

understand best practices.

10. Creates strategic partnerships when resources are

limited.

Needs Capable
Significant and Role
Others Development Effective Model
1 2 3 4 5

11. ...treats others with respect and dignity.

12. Works across boundaries within the organization.

13. Constructively receives criticism and suggestions from

others.

14. Helpful

15. Works effectively with people from other departments.

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 Needs Capable
Significant and Role
Bias for Action Development Effective Model
1 2 3 4 5

16. Driven to get things done.

17. Completes even the smallest of tasks to avoid causing

any delay in the project.

18. Initiates tasks or projects that address identified needs.

19. Develops a proactive approach to solving problems and

issues on a project.

20. Makes decisions within a specific time limit to avoid

overthinking about problems.

Needs Capable
Significant and Role
Continual Improvement Development Effective Model
1 2 3 4 5

21. Looks for ways to expand current job responsibilities.

22. Analyzes processes to determine areas for

improvement.

23. Looks for ways to improve work processes and

procedures.

24. Searches for new methods, techniques, and processes

that increase efficiency and reduce costs.

25. Fosters a culture of open communication and

continuous improvement.

Needs Capable
Significant and Role
Punctuality Development Effective Model
1 2 3 4 5

26. Invoices clients on a timely basis.

27. Starts the workday when scheduled.

28. Avoids making personal phone calls during working

hours.

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 29. Arrives to meetings on time.

30. Conducts appointments at scheduled start time.

Needs Capable
Significant and Role
Managing Performance Development Effective Model
1 2 3 4 5

31. Assigns responsibility for meeting specific objectives.

32. Establishes measures of performance.

33. Ensures Job Descriptions are up to date and accurate.

34. Uses existing performance frameworks to define

measures of performance.

35. Ensures employees understand how work is to be

completed.

Needs Capable
Significant and Role
Quality Development Effective Model
1 2 3 4 5

36. Takes preventative measures to address quality issues

before they escalate.

37. Positively influences others to strive to attain high

quality standards.

38. Addresses issues as soon as possible.

39. Develops processes to enhance quality standards.

40. Corrects issues in a timely manner.

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 41. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?

-Excellent
-Good
-Average
-Poor

42. Would you refer others who are seeking employment to [Company]?
Yes No

Please provide explanation:

43. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one
improvement would you make?

44. What changes do you see [Company] making in order to raise the standards?

45. I feel good about my continued employment with [Company].

Yes No

If no, please provide explanation:

46. What do you like best about working for [Company]?

47. What do you like least about working for [Company]? How could it be improved?

93. Use the space below to enter any final comments you would like to be noted:

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