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)
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.


Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes the initiative to change the direction or course of events.
  1. Immediately works to complete goals well before their deadline.
  1. Acts quickly to address any issues or problems.
  1. Addresses small problems before they become big ones.
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. Sets high expectations and goals; encourages others to support the organization.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Understands & contributes to development of strategic goals.
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. Determines the parts of the project that need completed first.
  1. Produces a high volume of work.
  1. Explains the "whys" behind organizational objectives
  1. Creates measures of performance to track progress.
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. Avoids stating unclear or conflicting goals.
  1. Clearly defines work objectives for employees.
  1. Seeks to reduce ambiguity in messaging and documents.
  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. Inspires creativity in their team.
  1. Develops solutions to challenging problems.
  1. Creates a lot of new ideas.
  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. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for professional development.
  1. Contributing fully to the extent of their skills
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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. Conducts appointments at scheduled start time.
  1. Arrives to meetings on time.
  1. Starts meetings on time.
  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. Measures performance using standard production quotas.
  1. Determines the operational standards needed for performance of the job.
  1. Recognizes and values good performance.
  1. Addresses poor performance sooner rather than later.
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. Develops and maintains quality control checklists for the manufacturing department.
  1. Quickly addresses changes in quality of the products.
  1. Verifies the operators have the necessary equipment and supplies to ensure high quality.
  1. Sets benchmarks for quality improvements.
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. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Works to identify root causes of performance problems
  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 openness and urges individuals to explore various options for resolving the conflict.
  1. Steers the process towards compromise and conflict resolution.
  1. Persuades others to accept personal transformation.
  1. Identifies the root cause of the problems.
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. Ensures staff have the supplies and resources necessary to enact the plan.
  1. Prioritizes plans based on a cost/benefit analysis.
  1. Accurately estimates the duration of tasks.
  1. Works in an organized manner
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.