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360 Feedback Survey Example 1

This example questionnaire shows how comments can be an integral part of the survey to provide valuable feedback to the employee. A comment box is provided for each rating made by the participant. These written comments provide feedback in more detail than just a single rating.

ABC Global 360-Degree Feedback

Rater:

You are providing feedback to:



Instructions

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last twelve months. Your responses will be merged with other's feedback and presented to the manager to guide them in their on-going development. Comments will be shared anonymously as written with the manager, unless you indicate otherwise.

Method of use: As part of the annual appraisal process, leaders receive feedback from peers, subordinates, customers and supervisors. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the individual's annual appraisal and development plan.

Your questionnaire can be customized to include competencies and items relevant for your needs. Competencies and items can vary depending on job classification or other demographic factors.

To what extent does ____________ exhibit the following ...

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Communication Skills

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Takes on challenging questions and provides instant answers.
  1. Communicates clearly and get to the point without unnecessary details.
  1. Coaches others on their written communication skills
  1. Addresses issues of key importance to stakeholders.
  1. Communicates goals of project, resources required, resources available, etc. to the team
  1. Articulates ideas and emotions clearly to others.
  1. Gives clear and convincing presentations.
  1. Keeps an open-door policy to provide support and guidance.
  1. Communicates concepts and ideas to others.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Establishing Focus/Direction

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Aligns the department's goals with the goals of the organization.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Sets appropriate goals for employees.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Excellent at managing time.
  1. Maintains self-control when personally criticized.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Helps guide employees with prioritizing tasks.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?

Supervisory Skills

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Resolves disputes in a way that quickly reaches mutual agreement.
  1. Provides feedback that is aligned with performance expectations.
  1. Conducts regular progress meetings to ensure adherence to the schedule.
  1. Delegates assignments to employees according to seniority.
  1. Maintains professional interactions with peers, customers, and employees.
  1. Instructs employees on the proper way to perform tasks.
  1. Motivates and inspires high performance by team members.
  1. Allows employees to make their own decisions.
  1. Provides useful and constructive feedback to employees.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Managing Risk

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Prioritizes risks to act on critical issues first.
  1. Integrates risk management processes, data, and analytics across the company.
  1. Takes steps to minimize the impact/damage of the risk events.
  1. Develops policies to address risk situations in the workplace.
  1. Evaluates the probability of a risk event occurrence.
  1. Presents regular/monthly reports to the audit committee.
  1. Create contingency plans.
  1. Works effectively to transfers risk.
  1. Uses risk management to ensure smooth operations.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?

Regulatory/Compliance

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Maintains a compliance data recordkeeping system.
  1. Effectively manages a department of compliance officers.
  1. Performs annual/monthly compliance audits.
  1. Implements regulatory changes in a timely manner.
  1. Responds promptly to inquiries from regulatory bodies.
  1. Reviews transactions for potential misconduct.
  1. Reviews operations and work flows to ensure compliance with standards.
  1. Prepares and presents annual reports as required.
  1. Effectively communicates the importance of meeting compliance standards.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?

Empowering Others

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
  1. Encourages employees to take the initiative when responding to an issue.
  1. Values the expertise that others bring to the team.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
  1. Gives employees the authority to act on their own.
  1. Considers ideas from employees that may challenge traditional ways of doing the job.
  1. Gives employees the opportunity to make their own decisions at work.
  1. Sets clear goals for others to accomplish.
  1. Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Business Acumen

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Sponsors and promotes business efficiency changes.
  1. Gathers essential customer data to align our products with their expectations.
  1. Shares information on best practices to facilitate business workflows and operations during times of transition and changes in personnel.
  1. Develops business plans that are forward looking.
  1. Collects valuable customer insights to ensure our services meet their needs.
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Able to get department employees to accept new business workflows.
  1. Understands business fundamentals and practices.
  1. Can effectively interpret and analyze market data.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Organizational Fluency

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Effective in communicating with others within the organization.
  1. Anticipates problems that may affect the department.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Gets things done through the department.
  1. Able to explain departmental policies and procedures to others.
  1. Understands the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
  1. Understands departmental policies and procedures.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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