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)
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.


Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to improve work processes and procedures.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand current job responsibilities.
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. Contributes to a positive and fun work environment.
  1. Builds open and trusting relationships.
  1. Contributes to a positive work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
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. Leads team to set goals, solve problems, and accomplish tasks.
  1. Demonstrates leadership and courage in critical situations.
  1. Provides resources to enable individuals to develop professionally.
  1. Sets specific, measurable, and challenging goals.
  1. Gives inspiring presentations or discussions.
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. Displays high energy and enthusiasm on consistent basis.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Encourages risk taking and experimentation to improve performance
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Motivates others to achieve or exceed goals
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. Analyzes the needs of the situation and acts before being told to do so.
  1. Gladly seeks additional responsibilities.
  1. Is an inspiration for others to perform above expectations.
  1. Does things without being told.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
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. Uses polite language and shows respect for others' opinions and time.
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Considers the audience in how the communication is presented.
  1. Listens attentively and responds thoughtfully, showing they value the conversation.
  1. Communicates the vision of the organization to all employees.
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. Adjusts communication methods to the needs of the audience.
  1. Attends to the important details of a job or task.
  1. Is clear about goals that need to be achieved.
  1. Uses appropriate grammar and tense in communications.
  1. Writes clear job descriptions for positions in the organization.
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. Is a role model for others demonstrating the importance of interpersonal skills.
  1. Recognizes the contributions of others.
  1. Communicates well at all levels of the organization.
  1. Recognizes when others do a good job.
  1. Creates diverse teams of individuals with different backgrounds, skills, and abilities.
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. Delivers customized solutions for each customer.
  1. Maintains up-to-date information regarding customer products.
  1. Is committed to the success of the customer.
  1. Consistently exceeds customer expectations.
  1. Has received good feedback from customers.
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. Attends training seminars and conferences to increase skills in working with others globally.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Creates an environment where individual differences are valued and supported.
  1. Aligns personal vision with global strategies.
  1. Able to work with others from different cultures and countries.
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.