Coworker Development- 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Coworker Development:
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.


Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides ongoing feedback to co-workers on their development progress
  1. Works to identify root causes of performance problems
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Persuades others to accept ideas that may be difficult and uncomfortable.
  1. Attempts to determine the root sources of grievances.
  1. Identifies strategies to prevent the recurrence of issues.
  1. Sees conflicts as chances to develop innovative and effective solutions.
  1. Possesses the necessary skills to manage conflict and relationships.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Can work effectively in an environment of uncertainty.
  1. Understands the processes and various stages of business development.
  1. Takes the initiative to complete tasks.
  1. Excellent at managing relationships with stakeholders.
  1. Exhibits determination and passion in completion of goals.
What are your suggestions for how [Participant Name] can make improvements
in Entrepreneurship?

Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Will stop what they are doing to help colleagues in need.
  1. Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
  1. Adjusts plans and procedures.
  1. Adjusts plans to meet new situations.
  1. Is aware of changes to team personnel.
What are your suggestions for how [Participant Name] can make improvements
in Adaptability?

Continual Learning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Improves on their skill sets.
  1. Takes charge of their training and skills enhancement.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Views setbacks as opportunities to learn from.
  1. Participates in regular training offered.
What are your suggestions for how [Participant Name] can make improvements
in Continual Learning?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive and fun work environment.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Identifies problems and issues needing resolution.
  1. Analyzes issues and reduces them to their component parts.
  1. Identifies the root cause of a problem.
  1. Selects the appropriate techniques for analysis.
What are your suggestions for how [Participant Name] can make improvements
in Analytical?

Goals

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Goal Setting
  1. Achieves goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Understands & contributes to development of strategic goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
What are your suggestions for how [Participant Name] can make improvements
in Goals?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Delivers on promises made.
  1. Is trustworthy; is someone I can trust.
  1. Builds and maintains the trust of others.
  1. Works in a way that makes others want to work with her/him.
  1. Demonstrates congruence between statements and actions.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Works well with others from different cultural backgrounds.
  1. Can effectively deliver presentations to international clients.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Able to listen and understand others and discuss issues in a respectful way.
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.