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)
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:
Co-worker Development, Conflict Management, Entrepreneurship, Adaptability, Continual Learning, Attitude, Analytical, Goals, Trustworthy, 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.


Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Provides ongoing feedback to co-workers on their development progress
  1. Works to identify root causes of performance problems
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
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. Assists team members by helping them see the other point of view.
  1. Explores the feasibility of alternative solutions to resolve conflicts.
  1. Identifies who holds the authority to make decisions.
  1. Attempts to determine the root sources of grievances.
  1. Seeks to avert the recurrence of conflict issues.
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. Exhibits determination and passion in completion of goals.
  1. Able to adapt the department to changing business demands and climate.
  1. Balances risks and rewards when making decisions.
  1. Finds unique ways to go around barriers to success.
  1. Encourages risk taking for developing potential business opportunities.
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. Can take on new assignments.
  1. Adapts to changes in team membership.
  1. Will stop what they are doing to help colleagues in need.
  1. Adjusts priorities to changing business goals.
  1. Accommodates changes as needed.
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. Pursues learning that will enhance job performance.
  1. Sets relevant learning objectives and goals.
  1. Pursues professional development opportunities when they arise.
  1. Improves on their skill sets.
  1. Pursues self-improvement through continual learning.
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. Contributes to a positive work environment.
  1. Contributes to a positive and fun work environment.
  1. Visibly supports and encourages diversity in style and background.
  1. Builds open and trusting relationships.
  1. Treats all people fairly and with respect.
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. Uses appropriate techniques to solve problems.
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Asks the "right" questions to size up or evaluate situations.
  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. Sets high expectations and goals; encourages others to support the organization.
  1. Goal Setting
  1. Makes sure that I have a clear idea of our group's goals.
  1. Makes sure that team members have a clear idea of our group's 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. Builds and maintains the trust of others.
  1. Delivers on promises made.
  1. Works in a way that makes others want to work with her/him.
  1. Consistently keeps commitments.
  1. Takes care to maintain confidential information.
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. Engages in problem solving with individuals outside of the country.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Can effectively deliver presentations to international clients.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
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.