Achievement - 360 Degree Feedback Survey Sample #13





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

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. 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 manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Achievement

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Systematically works to improve the organization
  1. Sets challenging goals for the department.
  1. Improved the quality of work on the production line.
  1. Completes work to a high technical standard
  1. Completed required training and certification.
  1. Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Successfully completed the orientation training program.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Views others as valued partners.
  1. Considers the views of other colleagues and associates.
  1. Respects individual differences that contribute to solving problems.
  1. Develops networks and builds alliances with employees throughout the company.
  1. Contributes expertise, insights, and resources to accelerate solutions to problems.


Accountability

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Does not make excuses for missed deadlines.
  1. Takes responsibility for seeing the project through to completion.
  1. Holds employees accountable for completing the project successfully.
  1. Accepts personal responsibility for the timeliness of work.
  1. Accepts personal responsibility for producing high quality and timely work.


Bias for Action

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Completes work on time
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Motivates others to achieve or exceed goals


Passion To Learn

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Inspires others to learn new things.
  1. Takes advantage of training opportunities when they arise.
  1. Creates an environment that supports personal development and exploration.
  1. Is committed to enhancing their own knowledge and skills.


Leadership

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Expresses clear goals and objectives.
  1. Able to organize the work of others.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
  1. Sets a high level of performance expectations and challenges others to do the same.


Developing Others

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Provides constructive feedback to others.
  1. Recognizes and celebrates accomplishments of others.
  1. Tries to ensure employees are ready to move to the next level.
  1. Supports the successes of other employees.
  1. Assesses employees' developmental needs.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


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







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