Goals - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Goals:
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)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Goals, Technical, Technology Use/Management, Continual Improvement, Project Management, Delegation, Quality, Regulatory/Compliance, Trustworthy, Co-worker Development, Vision
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 between . The survey will only be available during these dates.


Goals

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Goal Setting
  1. Understands & contributes to development of strategic goals.
  1. Establishes and documents goals and objectives.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Sets high expectations and goals; encourages others to support the organization.
What are your suggestions for how [Participant Name] can make improvements
in Goals?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks information from others as needed.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Supports technical training and development of employees.
  1. Adopts the implementation of new technology into the workplace.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Understands and is committed to implementing new technologies.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to improve work processes and procedures.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates the implementation strategy for the project.
  1. Estimates the staffing requirements for the project.
  1. Assigns project roles to the team members.
  1. Communicates with the teams often to ensure that the deadlines are met.
  1. Maps out the project, timeline, resource requirements, metrics and communication.
What are your suggestions for how [Participant Name] can make improvements
in Project Management?

Delegation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  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 goals and objectives for subordinates.
  1. Entrusts subordinates with important tasks.
  1. Allows employees to decide how they wish to complete the tasks.
What are your suggestions for how [Participant Name] can make improvements
in Delegation?

Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to create quality initiatives to be implemented organization-wide.
  1. Develops specific quality standards/goals to be met within a specified timeframe.
  1. Regularly measures product specifications to ensure uniformity and quality control.
  1. Implements standardized and data driven quality processes/procedures.
  1. Promotes quality improvement practices in the department.
What are your suggestions for how [Participant Name] can make improvements
in Quality?

Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Reviews documentation, processes and practices.
  1. Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
  1. Keeps track of changes in legislation affecting regulatory compliance.
  1. Ensures operations meet government and industry requirements/standards.
  1. Creates and administers training initiatives on compliance and regulations.
What are your suggestions for how [Participant Name] can make improvements
in Regulatory/Compliance?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Is a person you can trust.
  1. Takes care to maintain confidential information.
  1. Demonstrates congruence between statements and actions.
  1. Is trustworthy; is someone I can trust.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Works to identify root causes of performance problems
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Formulates and implements the organization's vision.
  1. Designs strategies that mirror the organization's unified vision.
  1. Focuses efforts on implementing the organization's strategic vision.
  1. Recognizes potential challenges and devises comprehensive strategies to navigate and mitigate these difficulties.
  1. Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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