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Objectives - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Objectives:
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:
Objectives, Self Management, Feedback, Management, Supervisory Skills, Persuasion and Influence, Juggling Multiple Responsibilities, Co-worker Development, Entrepreneurship, 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.
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Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works toward achieving established goals and objectives.
  1. Effectively organizes resources and plans
  1. Sets long-term and short-term goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Establishes goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Objectives?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Uses patience and self-control in working with customers and associates.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Facilitates effective feedback between managers and their employees.
  1. Monitors and adjusts performance in response to feedback by regularly assessing progress and making necessary changes to improve effectiveness.
  1. Works with Human Resources to implement training for the Feedback system.
  1. Allows the person providing feedback to complete their thoughts without interrupting them.
  1. Equips managers with essential tools, training, and support to guarantee feedback is constructive, timely, and actionable.
What are your suggestions for how [Participant Name] can make improvements
in Feedback?

Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Evaluates external and internal factors to identify competitive advantages.
  1. Understands the needs of each party and the best alternative to a negotiated agreement (BATNA).
  1. Provides regular updates on project status, challenges, and achievements to stakeholders.
  1. Engages others with integrity and professionalism across roles and contexts.
  1. Estimates the duration for each phase of a task/project.
What are your suggestions for how [Participant Name] can make improvements
in Management?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Oversees the work of a group of employees.
  1. Provides useful and constructive feedback to employees.
  1. Determines appropriate staffing levels for the job.
  1. Makes sure employees are accomplishing important objectives.
  1. Treats all staff equitably.
What are your suggestions for how [Participant Name] can make improvements
in Supervisory Skills?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops a good rapport with others.
  1. Understanding what others need.
  1. Uses persuasive questioning and active listening to surface hidden interests and unlock creative solutions.
  1. Anticipates future trends and communicates their implications in a way that energizes and prepares the team.
  1. Able to express own goals and needs.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Prioritizes tasks for efficiency.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Determines which tasks are critical and which tasks are optional.
  1. Begins tasks as soon as possible.
  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?

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

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Balances risks and rewards when making decisions.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Takes the initiative to complete tasks.
  1. Excellent at managing relationships with stakeholders.
  1. Understands the processes and various stages of business development.
What are your suggestions for how [Participant Name] can make improvements
in Entrepreneurship?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Represents the company at trade shows and events.
  1. Fosters a work environment where employees feel energized and valued.
  1. Provides corporate trainers that are experts in their respective fields.
  1. Promotes a speak-up culture where ethical concerns are welcomed and addressed constructively.
  1. Ensures the department has the necessary funding to complete our mission.
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.