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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. Looks for ways to expand and learn new job skills.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to improve work processes and procedures.
  1. Open to the suggestions from others.
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. Is gracious and professional in their interactions with others.
  1. Contributes to a positive and fun work environment.
  1. Visibly supports and encourages diversity in style and background.
  1. Treats all people fairly and with respect.
  1. Builds open and trusting relationships.
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. Sets specific, measurable, and challenging goals.
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Holds others accountable for their actions.
  1. Expresses clear goals and objectives.
  1. Recognizes individual and team accomplishments and reward them appropriately.
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. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Encourages risk taking and experimentation to improve performance
  1. Displays high energy and enthusiasm on consistent basis.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
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. Immediately works to complete goals well before their deadline.
  1. Takes action to implement new changes in the policies and procedures.
  1. Immediately informs the supervisor of any critical incidents.
  1. Acts quickly when a small problem arises to keep it from becoming a major issue.
  1. Completes tasks without having to be told to do so.
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. Ensures comprehension during conversations or group presentations.
  1. Willing to communicate issues and concerns to colleagues.
  1. Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
  1. Comes across as comfortable and effective as a public speaker
  1. Presents issues, ideas, and strategy concisely and clearly.
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. Is clear about the roles and duties of team members.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Clarifies problems and their causes to help employees correct them.
  1. Clearly defines work objectives for employees.
  1. Clearly explains responsibilities to individuals.
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 open and approachable
  1. Pays close attention to what is being communicated verbally and nonverbally.
  1. Offers constructive criticism to have a positive impact on performance.
  1. Demonstrates a high degree of ethics and integrity in the workplace.
  1. Respectful of the opinions and ideas of others.
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. Adapts to changing customer needs.
  1. Provides excellent service to customers.
  1. Actively listens to concerns from customers.
  1. Gives feedback to the customer regularly.
  1. Accepts responsibility for ensuring customer satisfaction.
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. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Forms strong client relationships with international partners.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  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.