Empowering Others- 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Empowering Others:
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)
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.


Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Gives employees the resources they need to complete the job.
  1. Establishes goals that allow employees top operate independently in the field.
  1. Values the expertise that others bring to the team.
  1. Set clear goals for assignments.
  1. Includes others in the decision making process.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Persuades others to consider alternative points of view.
  1. Seeks to obtain consensus or compromise.
  1. Communicates effectively with others.
  1. Attempts to persuade others rather than simply control them.
  1. Has excellent influencing/negotiating skills.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Continual Learning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks opportunities to grow in skills and knowledge.
  1. Improves on their skill sets.
  1. Pursues professional development opportunities when they arise.
  1. Shares best practices with others and learns from others.
  1. Takes charge of their training and skills enhancement.
What are your suggestions for how [Participant Name] can make improvements
in Continual Learning?

Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is ready to offer help
  1. Delegate tasks effectively
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Takes responsibility for things that go wrong
What are your suggestions for how [Participant Name] can make improvements
in Management?

Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works effectively in the department.
  1. Has great overall performance
  1. Effective in performing his/her job.
  1. Sets a high standard for job performance.
  1. Effectively organizes resources and plans
What are your suggestions for how [Participant Name] can make improvements
in Performance?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Starts the workday when scheduled.
  1. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
  1. Starts meetings on time.
  1. Maintains an efficient schedule of activities.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Time Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Reacts promptly to inquiries from customers/clients.
  1. Takes the initiative to tackle critical issues earlier rather than later.
  1. Automates tedious or repetitive tasks.
  1. Organizes work responsibilities for maximum efficiency.
  1. Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
What are your suggestions for how [Participant Name] can make improvements
in Time Management?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Accepts setbacks and challenges as improvement opportunities
  1. Completed training on the new equipment.
  1. Highly motivated to achieve or exceed performance standards.
  1. Strives to meet goals and objectives.
  1. Eliminates bureaucratic barriers to streamline processes.
What are your suggestions for how [Participant Name] can make improvements
in Achievement?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Facilitates both parties in collaboratively seeking a compromise.
  1. Views conflicts as opportunities to create constructive and novel solutions to problems.
  1. Prepares team members to accept differing view points.
  1. Addresses contentious issues earlier rather than later.
  1. Facilitates the resolution of grievances by fostering mutual understanding and appreciation of each party's needs.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?

Fiscal Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Monitors spending.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Monitors expenses and verifies the need for items purchased.
  1. Effective in using Company's resources.
  1. Provides budgeting and accounting support to the Company.
What are your suggestions for how [Participant Name] can make improvements
in Fiscal Management?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.