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Establishing Focus/Direction - 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Questionnaires Measuring Establishing Focus/Direction:
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

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.
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Establishing Focus/Direction

  • Stays focused even when under pressure and stress.
  • Maintains focus when handling several problems or tasks simultaneously.
  • Helps guide employees with prioritizing tasks.
  • Maintains self-control when personally criticized.
  • Functions well under stress, deadlines, and/or significant workloads.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Self Management

  • Analyzes interpersonal problems instead of reacting to them.
  • Consciously controls own negative emotions in order to keep team morale up.
  • Steps away from a situation to process appropriate response.
  • Does not allow own emotions to interfere with the performance of others.
  • Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Results Oriented

  • Highly motivated to complete tasks despite obstacles that may arise.
  • Identifies what needs to be accomplished.
  • Willing to adapt to new procedures to maintain production capacities.
  • Inspires and motivates co-workers to be productive and energetic at work
  • Willing to take on new assignments to help increase production.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Interpersonal Skills

  • Communicates well at all levels of the organization.
  • Understands the core issues of conversations.
  • Attends to both the content and the context of what was being said.
  • Effectively manages conflicts by dealing with them directly and immediately
  • Maintains open and regular communication with others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Responsible

  • Sets high personal standards of performance.
  • Sets a good example
  • Sets a good example.
  • Acts as a resource without removing individual responsibility.
  • Is a person you can trust.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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