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; floating anchors)
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. ...Produce Quality
  1. Works well in this position.
  1. Shown significant improvement in job performance.
  1. Effective in performing his/her job.
  1. Able to organize work.
  1. Sets a high standard for job performance.
  1. Effectively organizes resources and plans
  1. Has great overall performance
  1. ...Overall Performance


Action

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Is driven to complete a high amount of work.
  1. Is the first to volunteer for assignments.
  1. Effectively handles multiple complex issues simultaneously.
  1. Takes corrective action when necessary.
  1. Takes action in critical situations.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Collaborates in time, effort, and expertise to help achieve success.
  1. Effectively uses technology to facilitate collaborative efforts in building process and policy documents.
  1. Shares insights, innovations, and resources to enhance efficiency.
  1. Fosters a collaborative work environment where mutual inspiration leads to innovative problem-solving.
  1. Collaborates across departmental boundaries and finds common ground with a wide range of stakeholders.


Empowering Others

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Recognizes the accomplishments of employees when they complete important assignments.
  1. Demonstrates confidence in the abilities of subordinates.
  1. Expresses confidence in the abilities of others.
  1. Allows employees to take on more responsibilities.
  1. Ensures employees understand what is being assigned to them.


Continual Improvement

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand current job responsibilities.
  1. Open to the suggestions from others.
  1. Analyzes processes to determine areas for improvement.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.


Clarity

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Is clear about goals that need to be achieved.
  1. Maintains clarity in goals and objectives.
  1. Uses appropriate grammar and tense in communications.
  1. Clearly explains responsibilities to individuals.
  1. Is clear about the roles and duties of team members.


Fiscal Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Effective in using Company's resources.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Develops of the department's annual budget.
  1. Keeps excellent records for financial transparency.


Vision

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Able to convert the current department vision into strategic objectives/plan.
  1. Is aware of their own actions and how that impacts the department.
  1. Creates a vision that adds value to the organization.
  1. Creates a compelling vision inspires employees, giving them a sense of purpose and direction.
  1. Tasks employees with realizing the vision.



  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.