Managing Risk - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Risk Management:
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:
Managing Risk, Action, Passion To Learn, Establishing Focus/Direction, Supervisory Skills, Problem Solving, Achievement, Co-worker Development, Company
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.


Managing Risk

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works effectively to transfers risk.
  1. Able to adapt quickly to changing situations.
  1. Creates a risk management strategy for the organization.
  1. Create contingency plans.
  1. Offers training to reduce safety incidents in the workplace.
What are your suggestions for how [Participant Name] can make improvements
in Managing Risk?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Prepares equipment at the start of the shift.
  1. Looks for extra ways to help the department achieve performance goals.
  1. Changes course to meet the needs of a new situation.
  1. Takes responsibility for meeting performance standards.
  1. Regularly conducts preventative maintenance on the equipment.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Stays up-to-date on emerging technologies.
  1. Embraces new technology and procedures.
  1. Is committed to enhancing their own knowledge and skills.
  1. Inspires others to learn new things.
What are your suggestions for how [Participant Name] can make improvements
in Passion To Learn?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Excellent at managing time.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Maintains focus when handling several problems or tasks simultaneously.
What are your suggestions for how [Participant Name] can make improvements
in Establishing Focus/Direction?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Encourages employees to take responsibility for mistakes.
  1. Seeks to enhance the performance of employees under their supervision.
  1. Is diligent about completing performance assessments on time.
  1. Communicates effectively to avoid issues, conflicts and errors on the job.
  1. Provides clear expectations of outcomes during performance reviews.
What are your suggestions for how [Participant Name] can make improvements
in Supervisory Skills?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Finds creative ways to get things done with limited resources.
  1. Works cooperatively with others to solve problems.
  1. Effective in solving problems.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Rapidly completes tasks and assignments.
  1. Completed required training and certification.
  1. Sets challenging goals for the department.
  1. Allocates resources as needed to accomplish organizational goals.
  1. Successfully completed the orientation training program.
What are your suggestions for how [Participant Name] can make improvements
in Achievement?

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. Gives others development opportunities through project assignments and increased job responsibilities
  1. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Works to identify root causes of performance problems
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Attends [Company] gatherings and social events.
  1. Follows existing procedures and processes.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
What are your suggestions for how [Participant Name] can make improvements
in Company?


  1. Strengths


  2. Areas for Development


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