Commitment to Result - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Commitment to Results:
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.


Commitment To Result

  • Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  • Willing to do whatever it takes-not afraid to have to put in extra effort.
  • Able to focus on a task even when working alone.
  • Coordinates all department activities into a cohesive team effort.
  • Creates a sense of urgency among the store team members to complete activities, which drive sales.
If [Participant Name] were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?

Integrity

  • Accepts responsibility for mistakes.
  • Establishes relationships of trust, honesty, fairness, and integrity.
  • Does what was promised.
  • Demonstrates sincerity in actions with others.
  • Maintains strong relationships with others.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Cultural Awareness

  • Is responsive to individuals from other cultures.
  • Encourages a work environment where individual differences are valued.
  • Values the opinions of diverse groups and individual.
  • Acknowledges their own biases in cultural interactions.
  • Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Leadership

  • Demonstrates leadership and courage in critical situations.
  • Motivates and challenges employees to attain a shared vision.
  • Effectively leads others.
  • Sits down regularly with employees to review their job performance.
  • 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.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Fiscal Management

  • Develops of the department's annual budget.
  • Monitors spending.
  • Provides budgeting and accounting support to the Company.
  • Keeps excellent records for financial transparency.
  • Monitors expenses and verifies the need for items purchased.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


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