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)
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. Sets clear goals for others to accomplish.
  1. Includes others in the decision making process.
  1. Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
  1. Encourages independent, original thinking and creative problem-solving.
  1. Permits employees to take training to become more independent.
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. Attempts to persuade others rather than simply control them.
  1. Has excellent influencing/negotiating skills.
  1. Understanding what others need.
  1. Communicates effectively with others.
  1. Develops a good rapport with others.
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. Pursues learning that will enhance job performance.
  1. Participates in regular training offered.
  1. Builds on their strengths while addressing their weaknesses.
  1. Is open to new ideas and concepts.
  1. Sets relevant learning objectives and goals.
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. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work
  1. Keep staff informed about what is happening in the company
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. ...Overall Performance
  1. Works effectively in the department.
  1. Effectively organizes resources and plans
  1. Has great overall performance
  1. Shown significant improvement in job performance.
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 meetings on time.
  1. Invoices clients on a timely basis.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
  1. Avoids making personal phone calls during working hours.
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. Works quickly to keep on schedule.
  1. Uses a journal, log, or schedule to keep track of how much time is spent doing each task.
  1. Is proactive in addressing important issues.
  1. Achieves more through effective time management.
  1. Delegates as many repetitive tasks as possible to maximize the amount of work being done.
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. Increased customer satisfaction scores for the quarter.
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  1. Uses established goals and performance measures to keep track of performance.
  1. Rapidly completes tasks and assignments.
  1. Set high standards in their performance
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. Discusses conflict situations with supervisor.
  1. Assists team members by helping them see the other point of view.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Clearly expresses expectations to others.
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. Provides budgeting and accounting support to the Company.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Monitors spending.
  1. Monitors expenses and verifies the need for items purchased.
  1. Effective in using Company's resources.
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.