Achievement - 360 Degree Feedback Survey Sample #14





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

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

Sample Result Document:
Sample Results
You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Achievement

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Takes immediate action of projects that fall behind schedule.
  1. Completes work to a high technical standard
  1. Completed required training and certification.
  1. Works at a quick pace to complete a high volume of work.
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Allocates resources as needed to accomplish organizational goals.
  1. Driven to complete assignments on time.
  1. Accepts setbacks and challenges as improvement opportunities
  1. Demonstrates a well-organized and timely approach to achieve desired results
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Bias for Action

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Motivates others to achieve or exceed goals
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Completes a large volume of work.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Displays high energy and enthusiasm on consistent basis.
If [Participant Name] were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?

Continual Improvement

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Looks for ways to expand current job responsibilities.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Treats all people fairly and with respect.
  1. Contributes to a positive and fun work environment.
  1. Is gracious and professional in their interactions with others.
  1. Visibly supports and encourages diversity in style and background.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Shows by their actions that they trust in the positive intentions of others.
If [Participant Name] were to make improvements in Attitude, 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. Reviews documentation and procedures manuals to ensure regulatory compliance.
  1. Offers training to employees to ensure they are complying with regulations.
  1. Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
  1. Addresses issues quickly before they develop into major problems.
  1. Appoints a supervisory committee to ensure effective oversight of the organization.
  1. Develops and implements appropriate reporting channels.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?

Collaboration

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Equip the team with the right tools and technologies to facilitate collaboration.
  1. Addresses interpersonal issues with a collaborative mindset.
  1. Effectively works with others to create solutions to problems.
  1. Builds an environment of trust and respect to encourage risk-taking, innovation, and sharing of ideas.
  1. Ensures relevant data is available to all committee members.
  1. Regularly seeks feedback from employees on how to improve collaboration and acts on their suggestions.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?

Strategic Focus

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Creates a strategy to pursue and maintain a competitive advantage in business.
  1. Scans the environment for opportunities to exploit.
  1. Determines the best approach to achieving desired goals.
  1. Analyzes the environment to develop strategies to achieve competitive advantage in the marketplace.
  1. Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
  1. Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
If [Participant Name] were to make improvements in Strategic Focus, 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.