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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

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. Determines what supplies/equipment will be needed for the project.
  1. Anticipates the impacts of strategic plans.
  1. Effectively uses logistics planning to reduce supply delays.
  1. Assigns the right tasks to the right people and holds them accountable.
  1. Works in an organized manner
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 impacts of domestic & global market events & issues.
  1. Able to decipher complex data making it easier to generate new insights.
  1. Anticipates the consequences to the business of different potential risk events.
  1. Understands cash flow procedures and statements.
  1. Thoroughly understands the business needs of the customer.
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. Utilizes contacts to build and strengthen internal support bases.
  1. Supports communication and collaboration with other leaders in the industry.
  1. Seeks to reduce institutional roadblocks to information sharing.
  1. Supports strategic alliances to combine strengths of both parties.
  1. Promotes awareness of interests in partnerships and networks.
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. Is creative.
  1. Develops solutions to challenging problems.
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Adds value to the department/organization.
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 work environment.
  1. Visibly supports and encourages diversity in style and background.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Shows by their actions that they trust in the positive intentions of others.
  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. Recognizes individual and team accomplishments and reward them appropriately.
  1. Sets a high level of performance expectations and challenges others to do the same.
  1. Provides resources to enable individuals to develop professionally.
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Motivates and challenges employees to attain a shared vision.
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. Tells subordinates what to do, not how to do it.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Defines goals and objectives for subordinates.
  1. Entrusts subordinates with important tasks.
  1. Clearly defines duties and tasks to be completed.
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. Eliminates bureaucratic barriers to streamline processes.
  1. Successfully launched the ABC project.
  1. Increased production by 20 percent.
  1. Is determined to complete tasks regardless of obstacles that may occur.
  1. Strives to exceed 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. Designs risk response activities that are proportionate to the level of risk.
  1. Tracks risks in a project.
  1. Creates informative guides regarding potential risks and risky behaviors.
  1. Creates a risk profile for projects and teams.
  1. Creates a risk management strategy for the department.
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. Responsible for setting the vision of the department.
  1. Behavior is ethical and honest.
  1. Sets a good example.
  1. Is a person you can trust.
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.