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

  • Willing to do whatever it takes-not afraid to have to put in extra effort.
  • Maintains persistence and dedication to achieving results.
  • Takes immediate action toward goals.
  • Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  • Creates a sense of urgency among the store team members to complete activities, which drive sales.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Business Acumen

  • Has a good understanding of liabilities and assets.
  • Establishes key performance indicators (KPIs) to measure progress and success.
  • Incorporates innovative approaches and being adaptable to change.
  • Interprets data to make informed business decisions.
  • Able to correctly assess current/estimated valuations.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Goals

  • Achieves established goals.
  • Sets high expectations and goals; encourages others to support the organization.
  • Establishes and documents goals and objectives.
  • Understands & contributes to development of strategic goals.
  • Conducts timely follow-up; keeps others informed on a need to know basis.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Passion To Learn

  • Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  • Holds self and associates accountable for goal achievement.
  • Constantly enhances product knowledge through experimentation and play.
  • Takes advantage of training opportunities when they arise.
  • Demonstrates through personal behavior the commitment to high standards of performance.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Empowering Others

  • Values the input from others.
  • Recognizes and rewards employees who make important decisions and take action when necessary.
  • Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
  • Establishes goals that allow employees top operate independently in the field.
  • Allows the employees to have flexible work schedules.
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.