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. Develops an effective plan to guide the project.
  1. Assesses the potential impact of changes to the strategic plan.
  1. Divides complex tasks into smaller steps to measure progress toward a goal.
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Notifies staff when the plan is not on schedule.
  1. Assigns the right tasks to the right people and holds them accountable.
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. Helps employees advance their skills so that they can have more autonomy.
  1. Gives employees the resources they need to complete the job.
  1. Allows employees to organize their schedule to best accomplish the job.
  1. Expresses confidence in the abilities of others.
  1. Demonstrates confidence in the abilities of subordinates.
  1. Delegates authority to employees and allows them to make their own decisions.
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. Constructively receives criticism and suggestions from others.
  1. Respects the opinions of other employees.
  1. Able to see issues from others' perspectives.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Treats others with respect and dignity.
  1. Forms working relationships with employees 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. Tackles issues head on and finds solutions.
  1. Always starts work on time.
  1. Is aware of problems or issues that may affect the organization.
  1. Regularly leads the way when helping the team troubleshoot various issues.
  1. Takes ownership of mistakes and learns from them.
  1. Chooses integrity over convenience.
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. Investigates the root causes of problems.
  1. Open to the suggestions from others.
  1. Continually seeks opportunities to improve efficiency.
  1. Identifies opportunities to improve workflow processes through the better use of technology.
  1. Pursues efforts to improve by seeking feedback from others.
  1. Attends conferences and workshops to better understand best practices used by other companies.
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. Sets appropriate goals for employees.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Excellent at managing time.
  1. Maintains self-control when personally criticized.
  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. Often arrives at work early to get the day started.
  1. Allocates time to the highest priority items.
  1. Sets goals to complete specific parts of the project by certain times to keep on schedule.
  1. Often works through lunches instead of going out for lunches.
  1. Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
  1. Prepares to-do lists for the project tasks.
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. Establishes goals and objectives.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Works toward achieving established goals and objectives.
  1. Sets long-term and short-term goals.
  1. Encourages me to take on greater responsibility.
  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.