Objectives - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Excellence:
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:
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.


Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates goals and objectives to employees.
  1. Ability to establish realistic goals.
  1. Works toward achieving established goals and objectives.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Organizes and schedules events, activities, and resources.
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 interpersonal problems instead of reacting to them.
  1. Steps away from a situation to process appropriate response.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
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. Shares past experiences with others as learning opportunities.
  1. Is easy to approach with ideas and opinions.
  1. Is visible and approachable.
  1. Accepts the views of others.
  1. Open to the suggestions of others.
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. Delegate tasks effectively
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
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. Maintains disciplinary policy and fair enforcement of work rules
  1. Provides training on equipment as needed.
  1. Provides useful and constructive feedback to employees.
  1. Introduces targeted training and development initiatives to address and elevate subpar performance.
  1. Measures job performance fairly using established criteria.
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. Has excellent influencing/negotiating skills.
  1. Develops a good rapport with others.
  1. Seeks to obtain consensus or compromise.
  1. Persuades others to consider alternative points of view.
  1. Attempts to persuade others rather than simply control them.
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. Can multitask while performing all of their other responsibilities and activities.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
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. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Works to identify root causes of performance problems
  1. Provides ongoing feedback to co-workers on their development progress
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
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. Takes the initiative to complete tasks.
  1. Is comfortable operating in an environment of uncertainty.
  1. Finds unique ways to go around barriers to success.
  1. Encourages dynamic growth opportunities.
  1. Can work effectively in an environment of uncertainty.
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. Understands the "basics" as to how [Company] functions/operates.
  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.
  1. Attends [Company] gatherings and social events.
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.