Company- 360 Degree Feedback Survey Sample #2





Surveys Measuring Company:
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

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Company, Communication Skills, Self Management, Feedback, Delegation, Achievement, Technology Use/Management, Client Focus, Empowering Others, Others
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.

Please ensure that your submission is made between . The survey will only be available during these dates.


Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Impresses upon others the important aspects of [Company].
  1. Understands the use of [Company] products and services.
  1. Attends [Company] gatherings and social events.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Conveys ideas confidently and succinctly.
  1. Is an effective communicator
  1. Deals with difficult situations calmly and confidently.
  1. Communicates effectively with colleagues and customers
  1. Gives clear and convincing presentations.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Uses patience and self-control in working with customers and associates.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Accepts the views of others.
  1. Asks others for their ideas and opinions.
  1. Is visible and approachable.
  1. Open to the suggestions of others.
  1. Considers other's opinion and suggestions.
What are your suggestions for how [Participant Name] can make improvements
in Feedback?

Delegation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Assigns tasks to create learning opportunities for the employees.
  1. Tells subordinates what to do, not how to do it.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Entrusts subordinates with important tasks.
What are your suggestions for how [Participant Name] can make improvements
in Delegation?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Highly motivated to achieve or exceed performance standards.
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  1. Helps others to improve or meet standards of performance.
  1. Driven to complete goals despite obstacles that may arise.
What are your suggestions for how [Participant Name] can make improvements
in Achievement?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adopts the implementation of new technology into the workplace.
  1. Proficient in the use of technical systems and processes.
  1. Supports technical training and development of employees.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Maximizes the use of new technology to deliver products and services.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Addresses client complaints immediately.
  1. Creates high quality products for the clients.
  1. Puts client's needs first.
  1. Focuses on the unique needs of each client.
  1. Creates innovative solutions to meet client needs.
What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Values the expertise that others bring to the team.
  1. Avoids micromanaging their employees.
  1. Recognizes the contributions that others make to the department.
  1. Allows employees to organize their schedule to best accomplish the job.
  1. Encourages employees to make informed decisions based on their own judgment and reasoning.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works across boundaries within the organization.
  1. Forms working relationships with employees from other departments.
  1. ...treats others with respect and dignity.
  1. Helpful
  1. Supports the efforts of other employees in implementing solutions to problems.
What are your suggestions for how [Participant Name] can make improvements
in Others?


  1. Strengths


  2. Areas for Development


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