Goals - 360 Degree Feedback Survey Sample #10





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)
Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give 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 the recipient to help guide their ongoing development.

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.


Goals

  • Makes sure that team members have a clear idea of our group's goals.
  • Goal Setting
  • Establishes and documents goals and objectives.
  • Understands & contributes to development of strategic goals.
  • Makes sure that I have a clear idea of our group's goals.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?

Self Management

  • Steps away from a situation to process appropriate response.
  • Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  • Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  • Analyzes interpersonal problems instead of reacting to them.
  • Uses patience and self-control in working with customers and associates.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Administrative Skill

  • Able to develop, justify and present a budget.
  • High attention to detail.
  • Implements and uses performance measures.
  • Strong organizational skills to keep the workspace and department in order
  • Accurately implements contract provisions.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Trustworthy

  • Consistently keeps commitments.
  • Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  • Is trustworthy; is someone I can trust.
  • Works in a way that makes others want to work with her/him.
  • Takes care to maintain confidential information.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Strategic Insight

  • Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  • Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  • Inspires employees to adopt the strategic plan.
  • Identifies root causes of problems.
  • Ensures that the department's goals are strategically aligned with the company's goals.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


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