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)
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.

Competencies Included:
Planning, Empowering Others, Others, Accountability, Continual Improvement, Establishing Focus/Direction, Time Management, Objectives
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. Able to balance the needs of multiple stakeholders in developing the plan for the division.
  1. Ensures staff have the supplies and resources necessary to enact the plan.
  1. Assigns the right tasks to the right people and holds them accountable.
  1. Sets up and monitors timeframes and plans
  1. Determines the steps required for completion of a task.
  1. Develops a strategic plan to reduce costs in the department.
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. Expresses confidence in the abilities of others.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
  1. Views others in the department as valued assets to be trained and employed.
  1. Recognizes the contributions that others make to the department.
  1. Trusts employees to complete tasks assigned.
  1. Avoids micromanaging their employees.
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. Supports the efforts of other employees in implementing solutions to problems.
  1. Able to see issues from others' perspectives.
  1. Is able to see issues from others' perspectives.
  1. Helpful
  1. Consistently demonstrates ability and willingness to trust others.
  1. Works effectively with people from other departments.
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. Is prepared and on time for meetings and scheduled events.
  1. Remains knowledgeable of Company performance.
  1. Always starts work on time.
  1. Takes ownership of problems to find the best solutions.
  1. Continues to work diligently on a problem despite setbacks.
  1. Holds team accountable to meeting goals.
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. Analyzes processes to determine areas for improvement.
  1. Open to the suggestions from others.
  1. Identifies opportunities to improve workflow processes through the better use of technology.
  1. Looks for ways to expand current job responsibilities.
  1. Pursues efforts to improve by seeking feedback from others.
  1. Investigates the root causes of problems.
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. Functions well under stress, deadlines, and/or significant workloads.
  1. Sets appropriate goals for employees.
  1. Maintains self-control when personally criticized.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Stays focused even when under pressure and stress.
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. Does not become flustered by deadlines and timelines.
  1. Encourages coworkers to work productively.
  1. Anticipates problems and resolves them before they negatively impact the schedule.
  1. Integrates automation into the process whenever feasible.
  1. Utilizes batch workflows to reduce time spent on certain tasks.
  1. Gets more accomplished than others in the same amount of time.
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. Consistently provides me with timely feedback for improving my performance.
  1. Works toward achieving established goals and objectives.
  1. Ability to establish realistic goals.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Encourages me to take on greater responsibility.
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.