Excellence - 360 Degree Feedback Survey Sample #9

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)

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 comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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.


Definite Strength Meets Standards Needs Development N/A
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Is planful and organized.
  1. Demonstrates the analytical skills to do their job.


Definite Strength Meets Standards Needs Development N/A
  1. Acts like an owner when they make decisions.
  1. Is aware of problems or issues that may affect the organization.
  1. Defines roles, rights, and responsibilities of the team.
  1. Takes responsibility for results.
  1. Creates a consistent process for prioritizing work.

Continual Improvement

Definite Strength Meets Standards Needs Development N/A
  1. Open to the suggestions from others.
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.


Definite Strength Meets Standards Needs Development N/A
  1. Tells subordinates what to do, not how to do it.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Allows subordinates to use their own methods and procedures.


Definite Strength Meets Standards Needs Development N/A
  1. Asks the "right" questions to size up or evaluate situations.
  1. Actively seeks constructive feedback from others.
  1. Uses appropriate techniques to solve problems.
  1. Can effectively interpret and analyze data.
  1. Identifies the root cause of a problem.


Definite Strength Meets Standards Needs Development N/A
  1. Achieves goals.
  1. Achieves established goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Understands & contributes to development of strategic goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.


Definite Strength Meets Standards Needs Development N/A
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Seeks information from others as needed.
  1. Knows how to produce high quality products/work.


Definite Strength Meets Standards Needs Development N/A
  1. Is trustworthy; is someone I can trust.
  1. Delivers on promises made.
  1. Takes ownership, delivers on commitments
  1. Builds and maintains the trust of others.
  1. Works in a way that makes others want to work with her/him.


Definite Strength Meets Standards Needs Development N/A
  1. Helps employees to maintain high personal standards.
  1. Develops the skills and capabilities of others.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Provides clear, motivating, and constructive feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.

Strategic Insight

Definite Strength Meets Standards Needs Development N/A
  1. Implements long-term solutions to problems.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Identifies potential problems before they become critical incidents.
  1. Formulates policies and strategies for addressing the Company's important challenges.

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Able to explain departmental policies and procedures to others.
  1. Understands the current organizational culture.
  1. Understands departmental policies and procedures.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.