Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #2





Surveys measuring the ability to handle multiple responsibilities:
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:
Juggling Multiple Responsibilities, Results Oriented, Creativity, Professional Development, Punctuality, Quality, Goals, Clarity, 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.


Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
  1. Assigns tasks based on skills of team members.
  1. Determines which tasks are critical and which tasks are optional.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Coordinates the work of a team by assigning tasks to other team members.
What are your suggestions for how [Participant Name] can make improvements
in Juggling Multiple Responsibilities?

Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Promptly and efficiently completes assigned tasks.
  1. Motivated by a strong desire to exceed performance standards.
  1. Responds to changing events to maintain progress toward achieving results.
  1. Achieves high levels of performance.
  1. Determines what resources will be needed to achieve the objectives.
What are your suggestions for how [Participant Name] can make improvements
in Results Oriented?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is creative and inspirational.
  1. Creates a lot of new ideas.
  1. Is creative.
  1. Develops solutions to challenging problems.
  1. Adds value to the department/organization.
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. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Keep themselves up-to-date of technical/professional issues
  1. Allows employees to fully participate in employee training and professional development.
  1. Encourages employees to take courses relevant to their job.
  1. Contributing fully to the extent of their skills
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. Arrives to meetings on time.
  1. Conducts appointments at scheduled start time.
  1. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
  1. Starts meetings on time.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to create quality initiatives to be implemented organization-wide.
  1. Provides advice and guidance to team members on improving quality controls.
  1. Is a role model for quality practices and standards.
  1. Promotes quality improvement practices in the department.
  1. Implements quality control feedback loops to enhance services and products.
What are your suggestions for how [Participant Name] can make improvements
in Quality?

Goals

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Achieves established goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Goal Setting
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Establishes and documents goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Goals?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates with clarity and efficiency.
  1. Attends to the important details of a job or task.
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Maintains clarity in goals and objectives.
  1. Clearly defines work objectives for employees.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  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. Shares competing viewpoints to expand viewpoints.
  1. Identifies strategies to prevent the recurrence of issues.
  1. Seeks to develop a shared understanding of the issues involved.
  1. Attentively hears each person as they share their distinct viewpoints on the matter.
  1. Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
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. Closely follows the plan established for the department.
  1. Develops plans to help manage expectations and project demands.
  1. Creates a timeline for events and monitors progress.
  1. Sets the appropriate sequence of tasks to efficiently achieve the goal.
  1. Open to input from others into the plan for development of the strategic plan.
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.