Initiative - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

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

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results

Initiative

  • Seizes upon opportunities available.
  • Confronts problems immediately without supervisor instructions.
  • Acts on own initiative to improve the department outcomes.
  • Takes action to implement new changes in the policies and procedures.
  • Immediately informs the HR Department of any personnel complaints or issues.
If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Strategic Insight

  • Creates a vision for the organization based on insights gathered from other companies in the industry.
  • Attends industry conferences to gain further insight into how other companies deal with similar issues.
  • Develops a plan and strategy for each functional area within the mission statement.
  • Creates a mission statement describing the purpose for the organization.
  • Anticipates business cycles and trends and makes adjustments in a timely manner.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

Continual Learning

  • Builds on their strengths while addressing their weaknesses.
  • Seeks opportunities to grow in skills and knowledge.
  • Shares best practices with others and learns from others.
  • Pursues self-improvement through continual learning.
  • Views setbacks as opportunities to learn from.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Project Management

  • Determines the appropriate strategy for mitigating specific risks.
  • Maintains costs and expenses within budget limits.
  • Presents clear and accurate status information to required constituents.
  • Establishes the scope for the project.
  • Accurately determines the number of staff needed for the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Global Perspective

  • Aligns personal vision with global strategies.
  • Creates an environment where individual differences are valued and supported.
  • Works well with others from different cultural backgrounds.
  • Sets the example for team on importance of cultural awareness.
  • Can effectively deliver presentations to international clients.
If [Participant Name] were to make improvements in Global Perspective, 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.