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.

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. Maintains open communication with other departments.
  1. Knows how to obtain desired results with minimal losses.
  1. Creates a risk profile for projects and teams.
  1. Accurately perceives potential risks in the workplace and initiates preventative measures.
  1. Is concerned about process safety management.
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. Looks for extra ways to help the department achieve performance goals.
  1. Decides to act rather than remain passive.
  1. Anticipates critical incidents in the department and takes steps to mitigate their effect.
  1. Does not procrastinate when there is a job to be done.
  1. Displays high energy and enthusiasm on consistent basis.
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. Creates an environment that supports personal development and exploration.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Demonstrates a willingness to participate in continuing education courses.
  1. Stays up-to-date on emerging technologies.
  1. Enjoys learning new skills and techniques.
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. Stays focused even when under pressure and stress.
  1. Aligns the department's goals with the goals of the organization.
  1. Maintains self-control when personally criticized.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Helps guide employees with prioritizing tasks.
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. Decides the order that tasks need to be completed.
  1. Offers constructive feedback to facilitate performance improvement.
  1. Is fair and equitable in enforcement of work rules.
  1. Ensures employees know what they need to complete during the shift.
  1. Meets with employees at the end of the job to debrief them.
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. Solves problems using logic and insight.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Actively seeks the root cause of a problem.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Generates alternative solutions to problems and challenges.
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. Helps others to improve or meet standards of performance.
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Takes calculated risks to achieve difficult goals.
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Highly motivated to achieve or exceed performance standards.
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. Works to identify root causes of performance problems
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  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?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Attends [Company] gatherings and social events.
  1. Follows existing procedures and processes.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Understands the use of [Company] products and services.
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.