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Empowering Others- 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

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; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



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Empowering Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Encourages employees to take the initiative when responding to an issue.
  1. Considers ideas from employees that may challenge traditional ways of doing the job.
  1. Helps employees advance their skills so that they can have more autonomy.
  1. Views others in the department as valued assets to be trained and employed.
  1. Allows the employees to have flexible work schedules.


Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Respects the opinions of other employees.
  1. Works effectively with people from other departments.
  1. Forms working relationships with employees from other departments.
  1. Is able to see issues from others' perspectives.
  1. Works across boundaries within the organization.


Attitude

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Builds open and trusting relationships.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Treats all people fairly and with respect.
  1. Contributes to a positive and fun work environment.
  1. Contributes to a positive work environment.


Management

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Takes responsibility for things that go wrong
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
  1. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work


Supervisory Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Seeks to enhance the performance of employees under their supervision.
  1. Gives feedback that includes both a recognition of the employee's strengths and areas where the employee could do better.
  1. Is able to manage emotions during difficult times.
  1. Provides clear expectations of outcomes during performance reviews.
  1. Facilitates conversations where each person can be heard.


Goals

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Goal Setting
  1. Establishes and documents goals and objectives.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Achieves goals.


Clarity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Writes clear job descriptions for positions in the organization.
  1. Is clear about the roles and duties of team members.
  1. Maintains clarity in goals and objectives.
  1. Provides a clear vision for the future.
  1. Uses appropriate grammar and tense in communications.


Global Perspective

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Engages in problem solving with individuals outside of the country.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Communicates effectively on a multi-lingual basis.
  1. Attends training seminars and conferences to increase skills in working with others globally.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.