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Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #2





Surveys Measuring Juggling 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)
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:
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.
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Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Prioritizes tasks for efficiency.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Spends the most time and effort on critical tasks first.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
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. Completes urgent tasks first.
  1. Encourages employees to give 100% to achieving high results.
  1. Sets benchmarks and milestones to measure progress toward the objectives.
  1. Recognizes the problem that needs to be solved.
  1. Plans the best course of action to achieve the goal.
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. Conceives, implements and evaluates ideas.
  1. Creates a lot of new ideas.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
  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. Quickly acquire and apply new knowledge and skills when needed
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for continuous learning.
  1. Contributing fully to the extent of their skills
  1. Seeks opportunities for professional development.
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. Responds to requests for information in a timely manner.
  1. Starts the workday when scheduled.
  1. Starts meetings on time.
  1. Invoices clients on a timely basis.
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. Successfully implements quality controls within the department.
  1. Develops processes to enhance quality standards.
  1. Systematically and thoroughly inspects products for consistency in meeting specifications.
  1. Encourages others to achieve high quality standards.
  1. Always strives to produce the highest quality work 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. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Understands & contributes to development of strategic goals.
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Establishes and documents goals and objectives.
  1. Achieves goals.
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. Clarifies problems and their causes to help employees correct them.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Clearly explains the vision and goals of the company.
  1. Maintains clarity in goals and objectives.
  1. Checks details thoroughly.
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. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
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. Ensures fair treatment for both parties, giving each the chance to speak and share their viewpoints.
  1. Shares competing viewpoints to expand viewpoints.
  1. Facilitates dialog between stakeholders.
  1. Examines differences and disagreements for creative and strategic resolutions.
  1. Acknowledges each party's intrinsic needs.
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. Sets the appropriate sequence of tasks to ensure completion of the project.
  1. Analyzes market trends to plan the best course of action.
  1. Develops plans used to accomplish urgent or critical tasks.
  1. Develops good plans used for logistics.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
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.