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.

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. Establishes a course of action for self and others to accomplish specific goals.
  1. Able to balance the needs of multiple stakeholders in developing the plan for the division.
  1. Determines the steps required for completion of a task.
  1. Develops strategic plans for the company/organization.
  1. Establishes and monitors timeframes and timelines.
  1. Develops plans used to accomplish urgent or critical tasks.
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. Delegates authority to employees and allows them to make their own decisions.
  1. Set clear goals for assignments.
  1. Assigns tasks that allow employees to use their critical thinking skills.
  1. Allows subordinates to perform mission critical tasks.
  1. Is confident in the abilities of employees assigned important tasks.
  1. Provides support and resources needed to accomplish goals.
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. Treats others with respect and dignity.
  1. Constructively receives criticism and suggestions from others.
  1. Respects the opinions of other employees.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Works across boundaries within the organization.
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. Requires employees to submit action plans, timelines or other objectives.
  1. Creates a consistent process for prioritizing work.
  1. Upholds ethical standards even when no one is watching.
  1. Consistently follows through on commitments and promises.
  1. Chooses integrity over convenience.
  1. Takes full responsibility for results.
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. Promotes training and development opportunities to enhance job performance.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Creates a culture of knowledge sharing to facilitate continuous improvement.
  1. Looks for ways to expand current job responsibilities.
  1. Open to the suggestions from others.
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. Makes sure that employees understand and identify with the team's mission.
  1. Maintains self-control when personally criticized.
  1. Helps guide employees with prioritizing tasks.
  1. Stays focused even when under pressure and stress.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Excellent at managing time.
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. Consistently achieves production targets on time.
  1. Leverages calendars to help keep better track of events.
  1. Manages the workload effectively in order to stay on schedule.
  1. Avoids distractions from personal phone or other personal devices.
  1. Understands the importance of being on time.
  1. Stays on track by effectively using the project schedule.
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. Consistently provides me with timely feedback for improving my performance.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Sets long-term and short-term goals.
  1. Ability to establish realistic goals.
  1. Effectively organizes resources and plans
  1. Communicates goals and objectives to employees.
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.