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Global Perspective- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Global Perspective:
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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Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Sets the example for team on importance of cultural awareness.
  1. Understands global systems such as the global economy.
  1. Communicates effectively on a multi-lingual basis.
  1. Facilitates open communication with individuals from other countries.


Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Forms working relationships with employees from other departments.
  1. Includes others in the decision making processes.
  1. Is able to see issues from others' perspectives.
  1. Constructively receives criticism and suggestions from others.
  1. Able to see issues from others' perspectives.


Creativity

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
  1. Is creative.
  1. Develops solutions to challenging problems.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates clear standards that are understandable and fair.
  1. Determines the Objectives and Key Results (OKRs) needed for the position.
  1. Ensures that team goals are met 85 percent of the time.
  1. Establishes indicators to measure levels of performance.
  1. Assesses employee performance against defined standards.


Persuasion and Influence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Understanding what others need.
  1. Able to express own goals and needs.
  1. Has excellent influencing/negotiating skills.
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.


Quality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Evaluates and improves the quality of services and products.
  1. Able to create quality initiatives to be implemented organization-wide.
  1. Develops and maintains quality control checklists for the manufacturing department.
  1. Investigates critical incidents that impact quality.
  1. Identifies appropriate sources of quality standards.


Initiative

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Creates solutions to problems as soon as an incident occurs.
  1. Gladly seeks additional responsibilities.
  1. Initiates the development of new products.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Capitalizes on opportunities as they become available.


Responsible

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Acts as a resource without removing individual responsibility.
  1. Sets a good example
  1. Completes assigned work tasks.
  1. Holds herself / himself accountable to goals / objectives
  1. Behavior is ethical and honest.



  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.