Excellence - 360 Degree Feedback Survey Sample #14





360 Feedback 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)
Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

Sample Result Document:
Sample Results
You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Excellence

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
  1. Keeps themselves and others focused on constant improvement.
  1. Produces high quality work.
  1. Takes a lot of pride in their work.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  1. Increased production by 20 percent.
  1. Motivated to exceed performance goals.
  1. Works at a quick pace to complete a high volume of work.
  1. Strives to meet goals and objectives.
  1. Created impactful reports for the re-organization committee.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Quality

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Provides regular and timely feedback on quality levels.
  1. Assists quality control inspectors.
  1. Verifies the correct materials were used in the installation.
  1. Evaluates and improves the quality of services and products.
  1. Presents quality information and data in an easy to understand format.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?

Feedback

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Is easy to approach with ideas and opinions.
  1. Considers other's opinion and suggestions.
  1. Shares past experiences with others as learning opportunities.
  1. Looks to others for input.
  1. Is visible and approachable.
  1. Seeks feedback to enhance performance.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Sets clear goals and objectives for subordinates.
  1. Gives direct, constructive, and actionable feedback.
  1. Holds others accountable for their actions.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.
  1. Provides resources to enable individuals to develop professionally.
  1. Leads team to set goals, solve problems, and accomplish tasks.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Collaboration

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Encourages collaboration of fellow employees to achieve results.
  1. Collaborates in group decision making.
  1. Displays a high degree of trust and credibility.
  1. Actively seeks opportunities to work with colleagues to address and resolve challenges.
  1. Contributes expertise, insights, and resources to accelerate solutions to problems.
  1. Engages in consensus-building activities.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?

Strategic Insight

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Works with others to develop insights into the resources and actions required to produce desired results.
  1. Converses with customers and clients to get a better insight into their personal needs.
  1. Identifies potential problems before they become critical incidents.
  1. Communicates with employees to find out their needs.
  1. Identifies root causes of problems.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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