Commitment to Result - 360 Degree Feedback Survey Sample #12





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.

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

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


Commitment To Result

  • Creates a sense of urgency among the store team members to complete activities, which drive sales.
  • Encourages commitment in others to obtain results.
  • Takes immediate action toward goals.
  • Able to focus on a task even when working alone.
  • Committed to the team.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Business Acumen

  • Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  • Recognizes trends in underlying data.
  • Is up-to-date with regulatory guidelines and policies.
  • Understands the costs, profits, markets, and added value of issues.
  • Interprets data to make informed business decisions.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Goals

  • Goal Setting
  • Understands & contributes to development of strategic goals.
  • Makes sure that team members have a clear idea of our group's goals.
  • Makes sure that I have a clear idea of our group's goals.
  • Achieves established goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Passion To Learn

  • Is open to feedback from others.
  • Enjoys learning new skills and techniques.
  • Stays up-to-date on emerging technologies.
  • Creates an environment that supports personal development and exploration.
  • Is open minded and curious about learning new skills.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Empowering Others

  • Is confident in the abilities of employees assigned important tasks.
  • Assigns important tasks to subordinates.
  • Sets goals to allow the employee to have more autonomy over their work.
  • Values the expertise that others bring to the team.
  • Allows employees the opportunity to take time off when needed.
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.