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Continuous Improvement - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Continuous 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:
Continuous 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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Continuous Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Regularly assesses the level of customer satisfaction to measure continuous improvement.
  1. Leverages technical skills to improve line efficiency and reliability.
  1. Encourages employees to take initiative in improving processes and solving problems.
  1. Exhibits persistent focus and commitment to improving processes and performance.
  1. Attends conferences and workshops to better understand best practices used by other companies.
What are your suggestions for how [Participant Name] can make improvements
in Continuous Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Searches for things that can be learned from mistakes.
  1. Frames smart risk-taking as the best approach to solving problems.
  1. Speaks with clarity and conviction, yet remains open to feedback and alternative viewpoints.
  1. Encourages shared learning by valuing contributions from others, asking thoughtful questions, and integrating feedback into practice.
  1. Shows up each day with a commitment to exceed expectations, not just meet them.
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. Takes ownership and accountability for results
  1. Inspires confidence by demonstrating conviction, authenticity, and passion for ideas.
  1. Demonstrates core value behaviors in actions towards others and in work performed
  1. Expects every team member to contribute ideas during discussions and decision-making.
  1. Has the courage to face difficult issues head on.
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. Initiates tasks or projects that address identified needs.
  1. Engages in continuous learning by actively seeking and incorporating feedback to improve processes and performance.
  1. Prioritizes tasks to ensure the most essential tasks are completed first.
  1. Coaches others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Driven to get things done.
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. Seeks alternative methods or resources when initial approaches fail or are unavailable.
  1. Launches initiatives that measurably improve team performance, efficiency, or morale.
  1. Takes on additional tasks without being asked or told to do so.
  1. Anticipates problems and initiates plans to address them.
  1. Addresses small problems before they become big ones.
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. Conducts regular performance feedback discussions with individuals and teams
  1. Communicates goals of project, resources required, resources available, etc. to the team
  1. Communicates regularly with the department.
  1. Can effectively deliver presentations.
  1. Receives and answers questions - on the spot. S/he has a willingness to address the tough questions.
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 defines work objectives for employees.
  1. Adjusts communication methods to the needs of the audience.
  1. Communicates with clarity and efficiency.
  1. Attends to the important details of a job or task.
  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. A good listener who is attentive to others.
  1. Demonstrates a high degree of ethics and integrity in the workplace.
  1. Recognizes when others do a good job.
  1. Honesty and integrity are core tenets of interpersonal relationships.
  1. Demonstrates willingness to work with 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. Focuses on maintaining good relationships with customers.
  1. Encourages team members to adopt a service-first mindset in all customer interactions.
  1. Actively listens to concerns from customers.
  1. Ensures every customer receives the same high standard of service, regardless of the situation.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
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. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Considers customers point of view when making decisions.
  1. Builds working relationships with others across cultures.
  1. Has positive interactions with individuals from different cultures and backgrounds.
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
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.