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. Understands & contributes to development of strategic goals.
  1. Achieves established goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Establishes and documents goals and objectives.
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. Willingly shares his/her technical expertise; sought out as resource by others
  1. Willingly shares information and expertise; sought out as resource by others
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.
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. Uses technology in decision making and problem solving.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Maximizes the use of new technology to deliver products and services.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Proficient in the use of technical systems and processes.
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. Looks for ways to improve work processes and procedures.
  1. Analyzes processes to determine areas for improvement.
  1. Promotes training and development opportunities to enhance job performance.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Looks for ways to expand and learn new job skills.
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. Regularly reviews project performance and goals.
  1. Identifies potential risks that could pose challenges to the project timeline.
  1. Establishes the scope for the project.
  1. Engages stakeholders and team members in open discussions.
  1. Works with both internal and external individuals to facilitate the project.
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. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Allows subordinates to use their own methods and procedures.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
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. Makes sure cleanliness standards are met to reduce the possibility of contamination.
  1. Successfully implements quality controls within the department.
  1. Always strives to produce the highest quality work products.
  1. Encourages employees to produce the best quality products.
  1. Proposes a variety of solutions to address quality needs.
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. Uses compliance reports to evaluate the effectiveness of compliance initiatives identifying areas of risk.
  1. Reviews operations and work flows to ensure compliance with standards.
  1. Maintains a state of readiness to address new and changing regulations and procedures.
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.
  1. Maintains a compliance data recordkeeping system.
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. Delivers on promises made.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Takes ownership, delivers on commitments
  1. Builds and maintains the trust of others.
  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. Takes immediate action on poor performance
  1. Works to identify root causes of performance problems
  1. Provides ongoing feedback to co-workers on their development progress
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
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. Committed to undertaking the implementation of the strategic vision.
  1. Tasks employees with realizing the vision.
  1. Envisions and articulates a clear path for the department's accelerated growth over the next year.
  1. Supports a positive vision for the future that increases market share and the bottom line.
  1. Establishes a clear vision for where the company should be heading.
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.