Performance - 360 Degree Feedback Survey Sample #13





Questionnaires Measuring Performance:
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)
Survey 14 (4-point scale; N/A)
Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Performance

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Effective in performing his/her job.
  1. Listens and responds to issues and problems
  1. Able to organize work.
  1. Has great overall performance
  1. Sets a high standard for job performance.
  1. ...Overall Performance
  1. Effectively organizes resources and plans
  1. ...Produce Quality
  1. Works effectively in the department.


Action

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Takes responsibility for meeting performance standards.
  1. Works across organizational lines and boundaries to attain goals.
  1. Creates opportunities and then takes advantage of them.
  1. Assigns tasks to individuals who are most able to perform them.
  1. Is not afraid to take action when necessary.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Collaborates with team members to achieve common goals.
  1. Creates an environment of open and transparent communication.
  1. Works with others to resolve issues facing the company.
  1. Encourages collaboration of fellow employees to achieve results.
  1. Collaborates in time, effort, and expertise to help achieve success.


Empowering Others

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Sets clear goals for others to accomplish.
  1. Fosters a sense of ownership and accountability for the process/product.
  1. Recognizes and rewards employees who make important decisions and take action when necessary.
  1. Considers ideas from employees that may challenge traditional ways of doing the job.
  1. Recognizes the accomplishments of employees when they complete important assignments.


Continual Improvement

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand current job responsibilities.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Open to the suggestions from others.
  1. Looks for ways to improve work processes and procedures.


Clarity

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Uses appropriate grammar and tense in communications.
  1. Makes sure goals and objectives are clearly and thoroughly explained and understood.
  1. Checks details thoroughly.
  1. Clarifies problems and their causes to help employees correct them.
  1. Adjusts communication methods to the needs of the audience.


Fiscal Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Effective in using Company's resources.
  1. Monitors spending.
  1. Monitors expenses and verifies the need for items purchased.
  1. Develops budgets and plans for various programs and initiatives.
  1. Ensures others follow the correct rules and regulations on fiscal matters.


Vision

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Defines an ideal image for what the department should look like in the future.
  1. Assigns the responsibility of implementing the vision to the team, ensuring they have clear guidance, adequate resources, and the necessary authority.
  1. Establishes a timeline for attainment of the organization's vision.
  1. Delegates the task of implementing the vision to subordinates.
  1. Establishes an inspiring and strategic vision for the department.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


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







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