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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.

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.
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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. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Takes immediate action on poor performance
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. Signals respect and attentiveness, even when tensions are high or perspectives diverge sharply.
  1. Ensures that all team members feel respected and heard.
  1. Clarifies ambiguous situations by asking questions tailored to help others articulate their concerns more precisely.
  1. Demonstrates flexibility and willingness to adjust their own approach when it contributes to a more constructive resolution.
  1. Guides participants to hear one another, not just speak.
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. Takes the initiative to complete tasks.
  1. Encourages risk taking for developing potential business opportunities.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Can work effectively in an environment of uncertainty.
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. Is proactive and takes steps to prepare for changes in the workplace.
  1. Works effectively with various personalities of team members.
  1. Effective in working with different personnel of the team.
  1. Flexible and adaptable when confronted with unexpected changes.
  1. Is open to changes in policies and procedures.
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. Views setbacks as opportunities to learn from.
  1. Pursues learning that will enhance job performance.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Sets relevant learning objectives and goals.
  1. Grasps new ideas, concepts, technical, or business knowledge.
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. Approaches failures as stepping stones toward improvement.
  1. Follows through on commitments consistently and honors deadlines without needing reminders.
  1. Adds creative flair or thoughtful touches to deliverables, demonstrating pride and joy in the work itself.
  1. Shows genuine interest in the well-being of colleagues, beyond work performance.
  1. Maintains a high self-esteem and sense of worth within the organization.
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. Recognizes patterns, draws logical conclusions, and makes recommendations for action.
  1. Asks the "right" questions to size up or evaluate situations.
  1. Weighs the risks and costs of certain decisions.
  1. Check the credibility of information sources.
  1. Evaluates assumptions before taking actions.
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. Understands how performance is measured against goals for the position.
  1. Complies with timelines for goal attainment.
  1. Consistently stays on course and avoids distractions.
  1. Delivers productive feedback and extends help to peers to accomplish their goals.
  1. Follows schedules to achieve 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. Is trustworthy; is someone I can trust.
  1. Takes ownership, delivers on commitments
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Takes care to maintain confidential information.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
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. Demonstrates working knowledge of global transactions.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Facilitates open communication with individuals from other countries.
  1. Analyzes global issues/problems that are having a large impact on the Company.
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.