Planning- 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Surveys Measuring Planning:
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)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

Competencies Included:
Planning, Business Acumen, Partnering/Networking, Creativity, Attitude, Leadership, Delegation, Achievement, Managing Risk, Responsible
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Planning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Prioritizes tasks based on urgency/need.
  1. Encourages others to follow the plan.
  1. Plans for how to allocate time to specific activities.
  1. Works in an organized manner
  1. Develops effective plans to deal with unforeseen circumstances.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

Business Acumen

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Understands cash flow procedures and statements.
  1. Describes and summarizes data.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Periodically assesses the current market environment.
  1. Can effectively interpret and analyze data.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Partnering/Networking

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Promotes the understanding of how the department affects the organization overall.
  1. Seeks an understanding of diverse functions within the Company.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Collaborates with others to accomplish goals and objectives.
  1. Partners with peers to obtain influence within the Company.
If [Participant Name] were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?

Creativity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops solutions to challenging problems.
  1. Adds value to the department/organization.
  1. Inspires creativity in their team.
  1. Is creative.
  1. Creates a lot of new ideas.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Contributes to a positive and fun work environment.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive work environment.
  1. Treats all people fairly and with respect.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Leadership

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates leadership and courage in critical situations.
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Sits down regularly with employees to review their job performance.
  1. Holds others accountable for their actions.
  1. Takes ownership and accountability for results
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?

Delegation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Entrusts subordinates with important tasks.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Allows subordinates to use their own methods and procedures.
  1. Clearly defines duties and tasks to be completed.
  1. Allows employees to decide how they wish to complete the tasks.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Sets performance metrics to measure achievement or attainment of goals.
  1. Establishes stretch goals to advance skills and output.
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
  1. Takes reasonable risks to achieve desired results.
  1. Sets ambitious standards of performance.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Managing Risk

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gathers information regarding potential risks.
  1. Aware of appropriate actions to minimize risks.
  1. Attends risk management seminars and conferences.
  1. Develops appropriate strategies to minimize risks.
  1. Accurately perceives potential risks in the workplace and initiates preventative measures.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?

Responsible

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works in a way that makes others want to work with her/him.
  1. Sets high personal standards of performance.
  1. ...takes personal responsibility for results.
  1. Behavior is ethical and honest.
  1. Completes assigned work tasks.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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