Planning- 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Sample Result Document:
Sample Results
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.

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


Planning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops effective plans to deal with unforeseen circumstances.
  1. Establishes a course of action for self and others to accomplish specific goals.
  1. Prioritizes tasks based on urgency/need.
  1. Assesses the potential impact of changes to the strategic plan.
  1. Open to input from others into the plan for development of the strategic plan.
  1. Develops an effective plan to guide the project.
What are your suggestions for how [Participant Name] can make improvements
in Planning?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Values the expertise that others bring to the team.
  1. Gives employees opportunities to demonstrate their skills.
  1. Permits employees to take training to become more independent.
  1. Recognizes the accomplishments of employees when they complete important assignments.
  1. Listens to the ideas employees have for solving issues.
  1. Encourages independent, original thinking and creative problem-solving.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is able to see issues from others' perspectives.
  1. Includes others in the decision making processes.
  1. Able to see issues from others' perspectives.
  1. ...treats others with respect and dignity.
  1. Works effectively with people from other departments.
  1. Helpful
What are your suggestions for how [Participant Name] can make improvements
in Others?

Accountability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Expects employees to account for their actions and performance.
  1. Remains knowledgeable of Company performance.
  1. Encourages employees to take on greater responsibilities.
  1. Provides clear reasons for underperformance.
  1. Consistently strives to meet high standards of excellence.
  1. Seeks commitment from employees prior to assigning tasks.
What are your suggestions for how [Participant Name] can make improvements
in Accountability?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Attends conferences and workshops to better understand best practices used by other companies.
  1. Open to the suggestions from others.
  1. Analyzes processes to determine areas for improvement.
  1. Pursues efforts to improve by seeking feedback from others.
  1. Evaluates the effectiveness of improvements.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Excellent at managing time.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Stays focused even when under pressure and stress.
  1. Aligns the department's goals with the goals of the organization.
  1. Sets appropriate goals for employees.
  1. Maintains self-control when personally criticized.
What are your suggestions for how [Participant Name] can make improvements
in Establishing Focus/Direction?

Time Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to get the important jobs done on time.
  1. Optimizes time management through automation.
  1. Uses agendas when chairing or facilitating meetings.
  1. Often arrives at work early to get the day started.
  1. Rarely misses deadlines; often producing results before expected.
  1. Gets a high volume of work done to avoid missing deadlines.
What are your suggestions for how [Participant Name] can make improvements
in Time Management?

Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to organize work.
  1. Sets long-term and short-term goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Encourages me to take on greater responsibility.
  1. Effectively organizes resources and plans
  1. Ability to establish realistic goals.
What are your suggestions for how [Participant Name] can make improvements
in Objectives?


  1. Strengths


  2. Areas for Development


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