Continual Improvement - 360 Degree Feedback Survey Sample #9

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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.

Continual Improvement

Definite Strength Meets Standards Needs Development N/A
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to improve work processes and procedures.
  1. Open to the suggestions from others.


Definite Strength Meets Standards Needs Development N/A
  1. Asks others for their ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
  1. Considers other's opinion and suggestions.
  1. Seeks feedback to enhance performance.
  1. Actively seeks feedback from others.


Definite Strength Meets Standards Needs Development N/A
  1. Defines roles, rights, and responsibilities of the team.
  1. Is someone you can trust.
  1. Takes responsibility for results.
  1. Develops goals and establishes objective measures of success.
  1. Is aware of problems or issues that may affect the organization.


Definite Strength Meets Standards Needs Development N/A
  1. Demonstrates sincerity in actions with others.
  1. Develops trust and confidence from others.
  1. Fosters an environment built upon trust.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Protects the integrity and confidentiality of information

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to express themselves clearly.
  1. Is able to manage their own emotions.

Project Management

Definite Strength Meets Standards Needs Development N/A
  1. Maintains costs and expenses within budget limits.
  1. Regularly reviews project performance and goals.
  1. Anticipates potential problems and institutes controls and contingency plans to address them.
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Defines project outcomes based on customer requirements.


Definite Strength Meets Standards Needs Development N/A
  1. Seeks information from others as needed.
  1. Knows how to produce high quality products/work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Willingly shares his/her technical expertise; sought out as resource by others


Definite Strength Meets Standards Needs Development N/A
  1. Identifies predictable hazards in the workplace.
  1. Develops safety guidelines for the department.
  1. Commits adequate resources toward safety measures.
  1. Develops a sustainable safety culture.
  1. Is not afraid to question a potential safety issue observed in the workplace.


Definite Strength Meets Standards Needs Development N/A
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Develops the skills and capabilities of others.


Definite Strength Meets Standards Needs Development N/A
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Leverages relationships with others to achieve goals.
  1. Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.


Definite Strength Meets Standards Needs Development N/A
  1. Persuades others to follow the Company's vision.
  1. Demonstrates consistency between words and actions
  1. Creates a common vision for others.
  1. Communicates a vision of where the Company needs to be in the future.
  1. Communicates the vision and strategy of [Company]

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.