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Excellence - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Excellence:
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:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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 by .

Thank you for your participation in the survey.

Management Team



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Excellence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Learns and applies new analytical methods to deepen data interpretation.
  1. Produces novel and valuable solutions to enhance excellence.
  1. Engages with professional contacts to access specialized knowledge that enhances work quality.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Volunteers for challenging assignments that build new skills.


Punctuality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
  1. Responds to requests for information in a timely manner.
  1. Starts meetings on time.
  1. Invoices clients on a timely basis.


Time Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Stays on track by effectively using the project schedule.
  1. Consistently meets production deadlines.
  1. Bundles different tasks together if they can be done at the same time.
  1. Delegates tasks to free up time to focus on more important issues.
  1. Avoids spending time on non-work related activities.


Commitment

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Builds commitment by asking employees to take responsibility for a piece of the initiative, making it "theirs."
  1. Has accepted a long-term commitment to the success of the department.
  1. Secures commitment from team members.
  1. Shows unwavering dedication to organizational achievement through actions and decisions.
  1. Models resilience and adaptability, showing dedication and commitment to success even when strategies must shift.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Models openness to new digital tools by using them personally.
  1. Aligns technology changes with existing policies, workflows, and performance expectations.
  1. Trains customers/clients how to use software applications.
  1. Prepares teams for transitions by outlining expected impacts on workflows, roles, and responsibilities.
  1. Evaluates operational workflows to determine where technology can meaningfully improve efficiency, accuracy, or throughput.


Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Behaves in a way that is consistent with business values & code of conduct
  1. Recognizes and rewards behaviors that are consistent with the company's vision.
  1. Is adept at identifying underlying problems within the organization and is capable of envisioning innovative and effective solutions to address these issues.
  1. Committed to undertaking the implementation of the strategic vision.
  1. Creates a compelling vision inspires employees, giving them a sense of purpose and direction.



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






  2. Strengths


  3. Areas for Development


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