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Others- 360 Degree Feedback Survey Sample #2





Surveys Measuring Others:
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:
Others, Adaptability, Self Management, Establishing Focus/Direction, Analytical, Problem Solving, Technology Use/Management, Business Acumen, 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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Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Includes others in the decision making processes.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Helpful
  1. Forms working relationships with employees from other departments.
  1. Respects the opinions of other employees.
  1. ...treats others with respect and dignity.
What are your suggestions for how [Participant Name] can make improvements
in Others?

Adaptability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Implements new rules, procedures, or regulations.
  1. Recognizes when course changes are needed and takes appropriate action.
  1. Responds quickly to new information.
  1. Embraces change and fosters an open-minded environment.
  1. Willing to see things from others' perspectives.
  1. Adjusts to the new vision and mission of the company.
What are your suggestions for how [Participant Name] can make improvements
in Adaptability?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Does not allow own emotions to interfere with the performance of others.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Steps away from a situation to process appropriate response.
  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?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Sets timelines, roles, responsibilities, and resources required to achieve the goal.
  1. Reassesses assignments and ensures coverage without overburdening others due to absences of personnel within the department.
  1. Identifies which tasks or projects need immediate attention and which can be deferred.
  1. Tailors guidance and support based on individual strengths, challenges, or circumstances.
  1. Gets employees back on track when they wander from the assigned tasks/projects.
  1. Creates well articulated goals for the team to pursue.
What are your suggestions for how [Participant Name] can make improvements
in Establishing Focus/Direction?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ensures staff records financial transactions accurately and completely.
  1. Critically examines the information presented to determine its truthfulness and applicability to the topic at hand.
  1. Helps employees to understand the issues better by using logic and research carefully.
  1. Calculates and interprets financial ratios (such as liquidity ratios, profitability ratios, and leverage ratios) to assess the financial health of the company.
  1. Reduces issues to their fundamental elements.
  1. Identifies the part of the business value chain that is affected by a particular decision or action, diagnoses the situation, and prioritize what needs to be done and who needs to be involved.
What are your suggestions for how [Participant Name] can make improvements
in Analytical?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Analyzes the potential success of proposed solutions.
  1. Gathers relevant data to track the solution's performance and identify any trends or patterns.
  1. Adapts to different problems by applying a wide range of strategies and techniques.
  1. Implements solutions to solve the problem.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Assesses the extent to which proposed solutions would lead to success.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands and is committed to implementing new technologies.
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Supports technical training and development of employees.
  1. Adopts the implementation of new technology into the workplace.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to decipher complex data making it easier to generate new insights.
  1. Able to get department employees to accept new business workflows.
  1. Meets with customers to gain insights into their core needs and how to strategically serve them.
  1. Understands business fundamentals and practices.
  1. Understands impacts of domestic & global market events & issues.
  1. Responds quickly to customer business inquiries.
What are your suggestions for how [Participant Name] can make improvements
in Business Acumen?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ensures all voices are heard and valued, fostering a culture of inclusion and respect.
  1. Effectively organizes teams in the division.
  1. Ensures that hiring is strategic and effective.
  1. Encourages employees to take ownership of their work and feel proud of their contributions.
  1. Provides a workspace that is comfortable and conducive to long hours of work.
  1. Keeps the parking area well maintained.
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.