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Continual Improvement - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Continual Improvement:
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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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:
Continual Improvement, Attitude, Leadership, Bias for Action, Initiative, Communication Skills, Clarity, Interpersonal Skills, Customer Focus, Global Perspective
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.
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Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Promotes training and development opportunities to enhance job performance.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to improve work processes and procedures.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Fosters a culture of open communication and continuous improvement.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Remains grounded without a need for grandstanding or theatrics to make an impact.
  1. Reinforces the team's value and shared purpose.
  1. Faces setbacks with composure and reframes challenges as opportunities for growth.
  1. Deflects praise with grace and redirects attention to collaborative effort.
  1. Participates actively in meetings, offering ideas with energy and genuine interest, not just obligation.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Leadership

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Coaches others and prepares them for current and future business demands.
  1. Influences others on his/her team to reach goals, improve performance, and try new things
  1. Influences the organization.
  1. Able to conceptualize, organize, staff and manage a program with results.
  1. Is able to decline bad ideas to avoid making poor decisions.
What are your suggestions for how [Participant Name] can make improvements
in Leadership?

Bias for Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Foresees potential obstacles and acts preemptively to address them.
  1. Initiates the necessary actions and continuously monitors progress, ensuring that deadlines are met, and proactively addresses any obstacles that may arise.
  1. Compiles lists of all steps that need to be completed for a project.
  1. Overcomes obstacles in pursuit of goals.
  1. Maintains a clear commitment to the task at hand.
What are your suggestions for how [Participant Name] can make improvements
in Bias for Action?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps the department take the initiative to create new solutions.
  1. Encourages others on the team to suggest process improvements.
  1. Allocates resources in advance to support anticipated growth or change initiatives.
  1. Volunteers for challenging assignments others avoid, especially when outcomes are uncertain.
  1. Initiates important conversation topics at meetings.
What are your suggestions for how [Participant Name] can make improvements
in Initiative?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Keeps open and regular communication with others.
  1. An effective listener who is responsive to information needs.
  1. Understands the preferences of the intended audience.
  1. Informs supervisor about progress made on goals and objectives.
  1. Verifies understanding throughout discussions.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Clearly defines work objectives for employees.
  1. Writes clear job descriptions for positions in the organization.
  1. Checks details thoroughly.
  1. Clearly explains the vision and goals of the company.
  1. Uses appropriate grammar and tense in communications.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Interpersonal Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates an atmosphere that supports the open expression of ideas
  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Is trusted by peers and co-workers; others are willing to confide in him/her
  1. Keeps commitments made with coworkers.
  1. Is honest about making mistakes and willing to fix them.
What are your suggestions for how [Participant Name] can make improvements
in Interpersonal Skills?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Sets an example for excellent customer relations.
  1. Exhibits a positive attitude that influences how others approached customer service.
  1. Attends to the customer's needs in addition to the specific needs of the project.
  1. Provides training to others on how to improve customer service.
  1. Is competent in handling customer cases.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Understands global systems such as the global economy.
  1. Communicates effectively on a multi-lingual basis.
What are your suggestions for how [Participant Name] can make improvements
in Global Perspective?


  1. Strengths


  2. Areas for Development


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