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Continuous Improvement - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Continuous 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:
Continuous 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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Continuous Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Open to the suggestions from others.
  1. Establishes high-performance standards aligned with global best practices.
  1. Diagnoses performance issues by interpreting technical data, trends, and system behavior to pinpoint root causes.
  1. Collaborates with upstream and downstream partners to optimize end-to-end workflow performance.
  1. Assists employees when needed.
What are your suggestions for how [Participant Name] can make improvements
in Continuous Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Expresses genuine belief in the team's ability to overcome challenges and thrive.
  1. Volunteers to take responsibility for assignments that fall outside their immediate scope to help move the team forward.
  1. Reflects on missteps with a focus on building future success
  1. Is personally involved in all aspects of the department.
  1. Visibly supports and encourages others.
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. Embeds feedback into the team's regular workflow, making it part of how the group improves together.
  1. Promotes a culture where everyone is expected to raise the bar for the group.
  1. Coaches others and prepares them for current and future business demands.
  1. Creates a shared vision that aligns individual motivations with organizational goals.
  1. Gains commitment by persuasion.
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. Sets a work standard for others to emulate.
  1. Eagerly volunteers for projects.
  1. Uses creativity, problem-solving skills, and available resources to overcome challenges and deliver results.
  1. Communicates clear goals, expectations, and timelines to ensure everyone is aligned and working towards the same objectives.
  1. Take decisive action when needed to keep the project moving forward.
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. Is motivated to resolve issues right away.
  1. Leads pilots or experiments that result in scalable improvements.
  1. Acts with urgency when time is of the essence.
  1. Acts with urgency when time is limited.
  1. Immediately works on solving problems.
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. Approachable, dependable, and ready to assist when needed.
  1. Is an effective communicator
  1. Delivers clear and concise instructions.
  1. Articulates ideas clearly and assertively.
  1. Notifies others about developments in plans and goals.
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. Provides a clear vision for the future.
  1. Is clear about goals that need to be achieved.
  1. Checks details thoroughly.
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Clearly defines work objectives for employees.
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. Embraces the differences in individuals that comprise the team.
  1. Is transparent and honest in communications, intentions, and actions.
  1. Gives constructive feedback on performance reviews.
  1. Recognizes when others do a good job.
  1. Is well respected in the department.
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. Obtains feedback to ensure customer needs are being met.
  1. Responds to feedback from customers.
  1. Uses feedback from customers to help improve services.
  1. Treats every customer interaction as an opportunity to build trust and goodwill.
  1. Identifies opportunities that will enhance the customer's experience.
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. Able to work with others from different cultures and countries.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  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. Builds working relationships with others across cultures.
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.