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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. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. Understands & contributes to development of strategic goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Achieves established 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. Knows how to produce high quality products/work.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Seeks information from others as needed.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
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. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports technical training and development of employees.
  1. Proficient in the use of technical systems and processes.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  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. Open to the suggestions from others.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to expand current job responsibilities.
  1. Analyzes processes to determine areas for improvement.
  1. Promotes training and development opportunities to enhance job performance.
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. Communicates with all employees involved on the project.
  1. Identifies the project time and budget constraints.
  1. Determines the project strategy for implementation.
  1. Researches potential solutions to meet the constraints of the project.
  1. Meets with stakeholders to determine the requirements for 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. Assigns tasks to create learning opportunities for the employees.
  1. Clearly defines duties and tasks to be completed.
  1. Entrusts subordinates with important tasks.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  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. Demonstrates a strong commitment to achieving quality goals.
  1. Develops processes to enhance quality standards.
  1. Effectively works with Quality Control (QC) engineers.
  1. Communicates with team members regarding best quality practices.
  1. Engages and leads staff in implementation of new quality procedures.
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. Ensures operations meet government and industry requirements/standards.
  1. Complies with trade agreements affecting international companies.
  1. Creates a standardized response protocol for responding to compliance related issues.
  1. Strengthens employees' ability to appropriately handle compliance and ethics issues.
  1. Follows all safety regulations and procedures.
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. Builds and maintains the trust of others.
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Is a person you 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. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
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. Defines a roadmap for realizing the organization's vision.
  1. Recognizes potential challenges and devises comprehensive strategies to navigate and mitigate these difficulties.
  1. Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.
  1. Inspires and motivates employees through an influential vision.
  1. Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.
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.