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. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
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. Identifies and takes steps to prevent potential confrontations.
  1. Assists team members by helping them see the other point of view.
  1. Clearly expresses expectations to others.
  1. Deals effectively with employee grievances.
  1. Discusses conflict situations with supervisor.
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. Excellent at managing relationships with stakeholders.
  1. Finds unique ways to go around barriers to success.
  1. Is comfortable operating in an environment of uncertainty.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  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. Responsive to the needs of others.
  1. Able to adjust to changing environments.
  1. Effective in working with different personnel of the team.
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Handles unexpected events without a loss of productivity.
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. Takes the initiative to learn new skills.
  1. Builds on their strengths while addressing their weaknesses.
  1. Participates in regular training offered.
  1. Is open to new ideas and concepts.
  1. Pursues learning that will enhance job performance.
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. Treats all people fairly and with respect.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Contributes to a positive and fun work environment.
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive 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 issues and reduces them to their component parts.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Analyzes data and information from several sources and arrives at logical conclusions.
  1. Uses appropriate techniques to solve problems.
  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. Makes sure that I have a clear idea of our group's goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Makes sure that team members have a clear idea of our group's goals.
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. Works in a way that makes others want to work with her/him.
  1. Demonstrates congruence between statements and actions.
  1. Consistently keeps commitments.
  1. Takes care to maintain confidential information.
  1. Is trustworthy; is someone I can trust.
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. Aligns personal vision with global strategies.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Forms strong client relationships with international partners.
  1. Understands global systems such as the global economy.
  1. Creates an environment where individual differences are valued and supported.
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.