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.

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. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to improve work processes and procedures.
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. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive and fun work environment.
  1. Contributes to a positive work environment.
  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. Sits down regularly with employees to review their job performance.
  1. Effectively leads others.
  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.
  1. Able to organize the work of others.
  1. Sets clear goals and objectives for subordinates.
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 a large volume of work.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Completes work on time
  1. Displays high energy and enthusiasm on consistent basis.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
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. Does the right thing without being told.
  1. Guides strategic initiatives to advance the department/organization.
  1. Takes on extra projects after required work is completed.
  1. Encourages others on the team to suggest process improvements.
  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. Provides followup information and seeks to avoid misunderstandings.
  1. Communicates goals of project, resources required, resources available, etc. to the team
  1. Confidently interacts with all tiers of the organization.
  1. Facilitates seamless communication across all management levels.
  1. Overcomes barriers that prevent effective communication.
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 explains the vision and goals of the company.
  1. Checks details thoroughly.
  1. Communicates ideas and facts clearly and effectively in writing.
  1. Communicates with clarity and efficiency.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
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 transparent and honest in communications, intentions, and actions.
  1. Takes time to recognize the efforts of others.
  1. Sees values in the diversity of individuals on the team.
  1. Works diligently to assist customers in finding the right products.
  1. Is trusted by peers and co-workers; others are willing to confide in him/her
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. Effectively troubleshoots customer issues.
  1. Manages customer accounts with high degree of competence.
  1. Anticipates customer needs.
  1. Attends to the customer's needs in addition to the specific needs of the project.
  1. Is aware of what the customer wants to receive.
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. Builds working relationships with others across cultures.
  1. Understands global systems such as the global economy.
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
  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.