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Objectives - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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 by .

Thank you for your participation in the survey.

Management Team



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Objectives

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Communicates goals and objectives to employees.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Able to organize work.
  1. Encourages me to take on greater responsibility.
  1. Effectively organizes resources and plans


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Informs team members how their performance compares to stated goals.
  1. Ensures team members receive rewards for positive performance accomplishments.
  1. Assigns additional responsibilities to facilitate internal employee promotions.
  1. Places employees on probation if they fail to meet minimum performance standards.
  1. Links qualitative objectives to quantitative key results.


Analytical

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Checks that the information is both precise and up-to-date.
  1. Uses financial metrics of similar companies to estimate the value our company.
  1. Uses statistics to find hidden patterns, connections, and trends in data.
  1. Critically examines the information presented to determine its truthfulness and applicability to the topic at hand.
  1. Divides complex problems or tasks into components/parts for further analysis.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops creative solutions.
  1. Analyzes both the potential risks and benefits associated with each proposed solution.
  1. Routinely checks and maintains equipment, systems, or processes to catch any signs of wear or inefficiency before they turn into bigger issues.
  1. Effective in solving difficult problems.
  1. Solves problems that require several different criteria or constraints.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Understands and is committed to implementing new technologies.
  1. Uses technology in decision making and problem solving.
  1. Adopts the implementation of new technology into the workplace.


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Recognizes the abilities and skills of self and others
  1. Makes people around them feel appreciated and valued.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Compliments other people when they do good work



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


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