Goals - 360 Degree Feedback Survey Sample #9





360 Feedback Survey

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)
Self-Assessment Instructions

Thank you for agreeing to participate in this leadership training process. As part of this process, you will be completing the self-assessment questionnaire (below). As you respond, please draw on your work experiences over the past 12 months. Rate each item using the scale shown. Comments at the end can help you to explain your ratings. If you gave a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to you at the next leadership seminar to help guide your ongoing professional development.

Sample Result Document:
Sample Results
You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Goals

Definite Strength Meets Standards Needs Development N/A
  1. You set high expectations and goals; encourages others to support the organization.
  1. You achieve goals.
  1. You set challenging stretch goals
  1. You make sure that I have a clear idea of our group's goals.
  1. You establish and document goals and objectives.


Time Management

Definite Strength Meets Standards Needs Development N/A
  1. I work quickly to keep on schedule.
  1. I rarely miss deadlines; often producing results before expected.
  1. I persist with crucial assignments.
  1. I delegate tasks to free up time to focus on more important issues.
  1. You use agendas when chairing or facilitating meetings.


Regulatory/Compliance

Definite Strength Meets Standards Needs Development N/A
  1. You provide documents and reports as needed to maintain compliance with laws.
  1. I ensure the company is in compliance with industry specifications, standards, and applicable laws.
  1. You work quickly to implement changes in regulations.
  1. I ensure appropriate followup for regulatory violations.
  1. I review the compliance program and recommends changes based on new industry trends.


Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. I deconstruct complex issues into understandable segments.
  1. You deliver messages with energy, enthusiasm, and conviction.
  1. You convey ideas confidently and succinctly.
  1. I produce written content that is both succinct and orderly.
  1. You accurately attends to/understands ideas which are exchanged.


Flexibility

Definite Strength Meets Standards Needs Development N/A
  1. I adapt the onboarding experience to meet the unique needs of each new employee.
  1. I change strategies based on new information.
  1. You adapt to circumstances as needed.
  1. You respond to changing availability of supplies and resources.
  1. You are willing to change strategies, operations, or processes in to meet new challenges or seize new opportunities.


Bias for Action

Definite Strength Meets Standards Needs Development N/A
  1. You motivate others to achieve or exceed goals
  1. You display high energy and enthusiasm on consistent basis.
  1. You convey a sense of urgency about addressing problems and opportunities
  1. You coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. You complete work on time


Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. I determine the operational standards needed for performance of the job.
  1. I implement remediation plans as needed.
  1. I use weekly staff meetings to assess performance of key responsibilities.
  1. You regularly conduct performance reviews of all employees.
  1. You effectively use the current performance review process.


Administrative Skill

Definite Strength Meets Standards Needs Development N/A
  1. You are enthusiastic about taking on challenging projects.
  1. You complete reports on-time.
  1. You have strong organizational skills to keep the workspace and department in order
  1. You implement and use performance measures.
  1. You take responsibility for decisions.


Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. You create a work environment that fosters positive feedback to employees.
  1. You assess employees' developmental needs.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You provide constructive feedback to others.
  1. You try to ensure employees are ready to move to the next level.


Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. You are aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You are adept at navigating within the culture of the department.
  1. You are able to explain departmental policies and procedures to others.
  1. You understand the current organizational culture.



  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.