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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. Effectively organizes resources and plans
  1. Consistently provides me with timely feedback for improving my performance.
  1. Establishes goals and objectives.
  1. Communicates goals and objectives to employees.
  1. Encourages me to take on greater responsibility.
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. Consciously controls own negative emotions in order to keep team morale up.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Steps away from a situation to process appropriate response.
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. Is easy to approach with ideas and opinions.
  1. Is visible and approachable.
  1. Asks others for their ideas and opinions.
  1. Open to the suggestions of others.
  1. Actively seeks feedback from 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. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
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. Sets a good example for others to follow.
  1. Maintains an even temper in stressful situations.
  1. Implements disciplinary policy in accordance with the union contract
  1. Measures job performance fairly using established criteria.
  1. Motivates and inspires high performance by team members.
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. Seeks to obtain consensus or compromise.
  1. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.
  1. Ensures stakeholders are involved in the decision making process.
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. Uses a scheduler/planner to keep tasks organized and on time.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Assigns tasks based on skills of team members.
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Switches attention to more urgent tasks when necessary.
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. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Works to identify root causes of performance problems
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
  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. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Is comfortable operating in an environment of uncertainty.
  1. Exhibits determination and passion in completion of goals.
  1. Balances risks and rewards when making decisions.
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. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Follows existing procedures and processes.
  1. Impresses upon others the important aspects of [Company].
  1. Attends [Company] gatherings and social events.
  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.