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Initiative - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Initiative:
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:
Initiative, Goals, Results Oriented, Clarity, Creativity, Professional Development, Punctuality, Managing Performance, Quality, Co-worker Development, Conflict Management, Planning
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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Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Initiates the development of new products.
  1. Acts on own initiative to improve the department outcomes.
  1. Looks to start work on new projects without waiting for direction from the manager.
What are your suggestions for how [Participant Name] can make improvements
in Initiative?

Goals

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Achieves goals.
  1. Goal Setting
  1. Establishes and documents goals and objectives.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
What are your suggestions for how [Participant Name] can make improvements
in Goals?

Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Stays focused on solving problems and getting work done.
  1. Recognizes the problem that needs to be solved.
  1. Persists in seeking objectives despite obstacles or setbacks.
  1. Views obstacles as opportunities to improve self.
What are your suggestions for how [Participant Name] can make improvements
in Results Oriented?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Makes sure employees understand why they were given certain assignments.
  1. Uses appropriate grammar and tense in communications.
  1. Provides a clear vision for the future.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops solutions to challenging problems.
  1. Is creative and inspirational.
  1. Adds value to the department/organization.
  1. Is creative.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Professional Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Keep themselves up-to-date of technical/professional issues
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for continuous learning.
What are your suggestions for how [Participant Name] can make improvements
in Professional Development?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Starts meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
  1. Responds to requests for information in a timely manner.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Continuously measures performance and provides feedback to employees regularly.
  1. Addresses poor performance sooner rather than later.
  1. Communicates the roles and responsibilities to the employee.
  1. Measures performance using standard production quotas.
What are your suggestions for how [Participant Name] can make improvements
in Managing Performance?

Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Establishes timeframes for achieving suitable quality levels.
  1. Verifies the operators have the necessary equipment and supplies to ensure high quality.
  1. Presents quality information and data in an easy to understand format.
  1. Verifies the correct materials were used in the installation.
What are your suggestions for how [Participant Name] can make improvements
in Quality?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works to identify root causes of performance problems
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Provides ongoing feedback to co-workers on their development progress
  1. Takes immediate action on poor performance
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Promotes a culture that values diverse perspectives.
  1. Helps others to see perceptions that they have about an issue.
  1. Avoids conflicts over minor issues.
  1. Prepares team members to accept differing view points.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?

Planning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has plans to handle unexpected events.
  1. Able to stay organized and focused using excellent planning skills.
  1. Develops an effective plan to guide the project.
  1. Reorders the schedule of events to maximize attendance/efficiency.
What are your suggestions for how [Participant Name] can make improvements
in Planning?


  1. Strengths


  2. Areas for Development


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