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. Follows existing procedures and processes.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the use of [Company] products and services.
  1. Impresses upon others the important aspects of [Company].
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. Communicates clearly and get to the point without unnecessary details.
  1. Prepares and delivers presentations.
  1. Can effectively deliver presentations.
  1. Delivers messages with personal energy, enthusiasm, and conviction.
  1. Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
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 own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Steps away from a situation to process appropriate response.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Consciously controls own negative emotions in order to keep team morale up.
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. Asks others for their ideas and opinions.
  1. Seeks feedback to enhance performance.
  1. Is visible and approachable.
  1. Considers other's opinion and suggestions.
  1. Accepts the views of others.
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. Entrusts subordinates with important tasks.
  1. Allows subordinates to use their own methods and procedures.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Defines goals and objectives for subordinates.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
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. Completes work to given time frame and to budget
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Reduces staff turnover.
  1. Helps others to improve or meet standards of performance.
  1. Holds others to high standards of achievement.
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. Supports employee training and development initiatives regarding implementation of technology.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Proficient in the use of technical systems and processes.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
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. Identifies the most pressing needs of each client.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Addresses client complaints immediately.
  1. Helps others in responding to client needs.
  1. Treats clients with courtesy and respect.
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. Encourages employees to think outside the box.
  1. Assigns tasks that are within the skill levels of employees.
  1. Motivates and encourages employees to be successful in their jobs.
  1. Values the input from others.
  1. Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
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. Helpful
  1. Is able to see issues from others' perspectives.
  1. Works across boundaries within the organization.
  1. Includes others in the decision making processes.
  1. Constructively receives criticism and suggestions from others.
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.