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. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand and learn new job skills.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to improve work processes and procedures.
  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. Treats all people fairly and with respect.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive work environment.
  1. Is gracious and professional in their interactions with others.
  1. Visibly supports and encourages diversity in style and background.
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. Demonstrates leadership and courage in critical situations.
  1. Takes ownership and accountability for results
  1. Motivates and challenges employees to attain a shared vision.
  1. Holds others accountable for their actions.
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
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. Completes work on time
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Completes a large volume of work.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Displays high energy and enthusiasm on consistent basis.
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. Takes the initiative to change the direction or course of events.
  1. Cleans the workspace without being told.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  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. Able to deliver presentations.
  1. Is an effective communicator
  1. Able to demonstrate persuasiveness in pursuit of objectives.
  1. Communicates with department leadership
  1. Delivers well-prepared, informed, poised and succinct presentations.
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. Communicates with clarity and efficiency.
  1. Clearly explains responsibilities to individuals.
  1. Provides a clear vision for the future.
  1. Clarifies problems and their causes to help employees correct them.
  1. Communicates ideas and facts clearly and effectively in writing.
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. Willing to overlook personal differences and focus on completing the task at hand.
  1. Embraces the differences in individuals that comprise the team.
  1. Uses tact, compassion, and sensitivity in interactions with others.
  1. Applies appropriate communication techniques to the situation.
  1. Is a highly respected individual in the company.
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. Transparent in all communications with the customer.
  1. Adapts to changes proposed by the customer.
  1. Prioritizes customer issues based on urgency.
  1. Adapts to changing customer needs.
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. Demonstrates a curiosity about diverse individuals and cultures.
  1. Considers customers point of view when making decisions.
  1. Communicates effectively on a multi-lingual basis.
  1. Respects individual differences.
  1. Creates an environment where individual differences are valued and supported.
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.