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. Follows existing procedures and processes.
  1. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Understands the use of [Company] products and services.
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. Delivers well-prepared, informed, poised and succinct presentations.
  1. Makes eye contact with the person they are speaking with.
  1. Maintains an open-door policy to be available for answers and guidance when needed.
  1. Communicates effectively with colleagues and customers
  1. Effectively delivers presentations to teams, large groups, and diverse audiences
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. 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.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
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. Considers other's opinion and suggestions.
  1. Asks others for their ideas and opinions.
  1. Accepts the views of others.
  1. Is easy to approach with ideas and opinions.
  1. Is visible and approachable.
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. Allows employees to decide how they wish to complete the tasks.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  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 stretch goals to advance skills and output.
  1. Increased production by 20 percent.
  1. Inspires others to work with a sense of urgency.
  1. Improved the quality of work on the production line.
  1. Rapidly completes tasks and assignments.
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. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
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. Accepts responsibility for ensuring client satisfaction.
  1. Creates high quality products for the clients.
  1. Transparent in all communications with the client.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Builds products that meet the unique needs of each client.
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. Recognizes and rewards employees who make important decisions and take action when necessary.
  1. Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
  1. Coordinates the knowledge, skills and resources of others to accomplish more in the department.
  1. Encourages employees to solve problems on their own.
  1. Includes others in the decision making process.
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. Able to see issues from others' perspectives.
  1. ...treats others with respect and dignity.
  1. Works effectively with people from other departments.
  1. Constructively receives criticism and suggestions from others.
  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.