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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. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Works to identify root causes of performance problems
  1. Provides ongoing feedback to co-workers on their development progress
  1. Takes immediate action on poor performance
  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. Settles disputes resulting in a win-win for both parties.
  1. Combines different ideas and viewpoints.
  1. Resolves grievances through a better understanding and appreciation of what each side needs.
  1. Seeks to achieve mutually acceptable outcomes.
  1. Views conflicts as opportunities to create constructive and novel solutions to problems.
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. Seeks and utilizes mentors to help guide professional development.
  1. Exhibits determination and passion in completion of goals.
  1. Can work effectively in an environment of uncertainty.
  1. Maintains a high level of energy to respond to demands of the job.
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. Adapts to changes in team membership.
  1. Able to adjust to changing environments.
  1. Able to work effectively with new people and new teams.
  1. Adjusts to new plans and procedures.
  1. Adjusts strategy when new information is presented.
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. Grasps new ideas, concepts, technical, or business knowledge.
  1. Participates in regular training offered.
  1. Views setbacks as opportunities to learn from.
  1. Improves on their skill sets.
  1. Pursues professional development opportunities when they arise.
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. Visibly supports and encourages diversity in style and background.
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive and fun work environment.
  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 financial metrics of similar companies to estimate the value our company.
  1. Builds mathematical models to represent real-world problems to help in understanding complex systems and predicting outcomes.
  1. Organizes information for decision making.
  1. Looks at problems from different perspectives and viewpoints.
  1. Collects relevant data and facts about a situation.
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 team members have a clear idea of our group's goals.
  1. Achieves goals.
  1. Makes sure that I 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. Builds and maintains the trust of others.
  1. Is a person you can trust.
  1. Works in a way that makes others want to work with her/him.
  1. Takes ownership, delivers on commitments
  1. Delivers on promises made.
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. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. Respects individual differences.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Communicates effectively on a multi-lingual basis.
  1. Applies knowledge of overseas markets.
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.