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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
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Goals

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides constructive feedback and offers assistance when needed to help the team achieve its goals.
  1. Helps facilitate the success of others' goals.
  1. May revise or modify clearly defined goals if they are deemed incorrect or unsuitable once the situation is fully understood.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Successfully meets deadlines for achieving goals.
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. Knows how to produce high quality products/work.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  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.
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. Proficient in the use of technical systems and processes.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
  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. Looks for ways to expand and learn new job skills.
  1. Analyzes processes to determine areas for improvement.
  1. Fosters a culture of open communication and continuous improvement.
  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. Follows progress on the project from initial phase to completion.
  1. Coordinates communication between the project team and stakeholders.
  1. Understands the budget constraints for the project.
  1. Decides what metrics should be used as milestones for the project.
  1. Keeps accurate records regarding the costs of various aspects of 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. Offers support without micromanaging the employee.
  1. Optimizes delegation by assigning employees tasks that maximize efficiency, promote professional development, and enhance employee engagement.
  1. Promotes the understanding that delegation is done fairly, based on skills, interests, and professional growth--not favoritism or bias.
  1. Clearly defines duties and tasks to be completed.
  1. Explains the purpose, expectations, and desired outcomes of the task.
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. Implements standardized and data driven quality processes/procedures.
  1. Provides advice and guidance to team members on improving quality controls.
  1. Successfully implements quality controls within the department.
  1. Investigates critical incidents that impact quality.
  1. Communicates quality standards clearly.
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. Develops dashboards that visualize compliance metrics for internal and external stakeholders.
  1. Provides documents and reports as needed to maintain compliance with laws.
  1. Reviews historical compliance reports to identify trends and refine reporting methodologies.
  1. Performs regulatory risk management to manage the risks of compliance (or non-compliance).
  1. Designs automated workflows to streamline compliance data collection and reporting.
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. Takes ownership, delivers on commitments
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Delivers on promises made.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
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. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Provides ongoing feedback to co-workers on their development progress
  1. Works to identify root causes of performance problems
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. Provides vision and strategies to the team.
  1. Creates a positive vision of the future for the Company.
  1. Recognizes potential challenges and devises comprehensive strategies to navigate and mitigate these difficulties.
  1. Supports a strong employee culture to ensure alignment with the company's vision.
  1. Creates a clear and inspiring vision statement that outlines the desired future for the company.
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.