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. Assigns the right tasks to the right people and holds them accountable.
  1. Has developed an effective strategic plan.
  1. Initiates the planning process by defining the scope of the project.
  1. Schedules staff based on seasonal needs.
  1. Prioritizes tasks and allocates resources.
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. Gathers important information from customers to make sure our products are relevant and useful.
  1. Knows how to use financial information to make an impact on the organization.
  1. Has a good understanding of liabilities and assets.
  1. Can effectively interpret and analyze market data.
  1. Interprets data to make informed business decisions.
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. Facilitates the formation of collaborative relationships with suppliers and vendors.
  1. Willingly participates on committees and project teams.
  1. Strengthens the contacts with other departments.
  1. Promotes awareness of interests in partnerships and networks.
  1. Contacts possible partners to seek new opportunities.
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. Inspires creativity in their team.
  1. Is creative.
  1. Creates a lot of new 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 and fun work environment.
  1. Builds open and trusting relationships.
  1. Treats all people fairly and with respect.
  1. Is gracious and professional in their interactions with others.
  1. Contributes to a positive work environment.
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. Able to organize the work of others.
  1. Sets clear goals and objectives for subordinates.
  1. Provides resources to enable individuals to develop professionally.
  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. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Defines goals and objectives for subordinates.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
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. Set high standards in their performance
  1. Takes calculated risks to achieve significant rewards.
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Successfully completed the orientation training program.
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. Creates a risk management strategy for the organization.
  1. Determines which are the serious threats.
  1. Seeks to capitalize on risks.
  1. Determines the impact of specific risks on marketplace.
  1. Designs risk response activities that are proportionate to the level of risk.
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. Completes assigned work tasks.
  1. Sets a good example
  1. Acts as a resource without removing individual responsibility.
  1. Responsible for setting the vision of the department.
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.