Achievement - 360 Degree Feedback Survey Sample #11





360 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)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Achievement

What does Achievement mean?
It means that ...
  • I take calculated risks to achieve significant rewards.
  • You are driven to complete assignments on time.
  • I can complete training on the new equipment.
  • You are able to increase customer satisfaction scores for the quarter.
  • You are able to reduce staff turnover.

To what extent does this person exhibit Achievement?
Select from one of the ratings below.

Goals

What does Goals mean?
It means that ...
  • You achieve goals.
  • You make sure that I have a clear idea of our group's goals.
  • You make sure that team members have a clear idea of our group's goals.
  • You set challenging stretch goals
  • You understand and contribute to development of strategic goals.

To what extent does this person exhibit Goals?
Select from one of the ratings below.

Creativity

What does Creativity mean?
It means that ...
  • You are creative and inspirational.
  • You conceive, implement and evaluate ideas.
  • You are creative.
  • You develop solutions to challenging problems.
  • You add value to the department/organization.

To what extent does this person exhibit Creativity?
Select from one of the ratings below.

Supervisory Skills

What does Supervisory Skills mean?
It means that ...
  • You delegate effectively.
  • You facilitate team members working well together.
  • I demonstrate empathy, respect, and openness to employees.
  • You are respectful toward employees.
  • You effectively determines which issues need immediate attention.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.

Global Perspective

What does Global Perspective mean?
It means that ...
  • You build working relationships with others across cultures.
  • You cooperate with others on a global scale.
  • You facilitate open communication with individuals from other countries.
  • You volunteer for experiences and assignments abroad.
  • You understand global systems such as the global economy.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.
Strengths


Areas for Development


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