Bias for Action - 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Questionnaires Measuring Bias for Action:
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)
Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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.

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

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


Bias for Action

  • Seeks and utilizes opportunities for continuous learning and self-development.
  • Conveys a sense of urgency about addressing problems and opportunities
  • Completes work on time
  • Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  • Identifies ways to simplify work processes and reduce cycle times
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Cultural Awareness

  • Open to learning about different cultures.
  • Views diversity as a strength, not as an issue.
  • Aware of their own cultural views.
  • Recognizes individual and cultural differences.
  • Seeks to reduce obstacles in communication that might arise from cultural differences.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Innovation

  • Finds creative ways to get things done with limited resources.
  • Searches for opportunities and innovative ways to improve the organization.
  • Creates a safe environment for idea-sharing.
  • Fosters a creative and innovative work environment.
  • Solves problems with insight and understanding.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Co-worker Development

  • Takes immediate action on poor performance
  • Adapts coaching and mentoring approach to meet the style or needs of individuals
  • Sets and clearly communicates expectations, performance goals, and measurements to others
  • Gives others development opportunities through project assignments and increased job responsibilities
  • Provides ongoing feedback to co-workers on their development progress
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Planning

  • Adjusts and rearranges the schedule to maximize efficiency.
  • Regularly makes plans for contingencies.
  • Open to input from others into the plan for development of the strategic plan.
  • Assesses the risks of various strategic plans.
  • Develops strategic plans for ensuring competitiveness in the marketplace.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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