Continual Improvement - 360 Degree Feedback Survey Sample #12





360 Feedback Survey

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

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Continual Improvement

  • Promotes training and development opportunities to enhance job performance.
  • Open to the suggestions from others.
  • Looks for ways to improve work processes and procedures.
  • Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  • Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Attitude

  • Contributes to a positive and fun work environment.
  • Shows by their actions that they trust in the positive intentions of others.
  • Works to eliminate unnecessary work or barriers that get in others' way.
  • Builds open and trusting relationships.
  • Contributes to a positive work environment.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Delegation

  • Allows employees to decide how they wish to complete the tasks.
  • Sets clear and reasonable expectations for others and follows through on their progress.
  • Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  • Defines goals and objectives for subordinates.
  • Tells subordinates what to do, not how to do it.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Administrative Skill

  • Able to develop, justify and present a budget.
  • Implements and uses performance measures.
  • Has strong technical/computer skills.
  • High attention to detail.
  • Accurately implements contract provisions.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Technology Use/Management

  • Adopts the implementation of new technology into the workplace.
  • Proficient in the use of technical systems and processes.
  • Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  • Maximizes the use of new technology to deliver products and services.
  • Uses technology in decision making and problem solving.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.