Planning- 360 Degree Feedback Survey Sample #4





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)
Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Sample Result Document:
Sample Results
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.




Planning

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Sets the appropriate sequence of tasks to efficiently achieve the goal.
  1. Able to develop logistics plans to move material through a multi-step supply chain.
  1. Prioritizes plans based on a cost/benefit analysis.
  1. Adjusts plans as needed according to situational/strategic changes.
  1. Accurately estimates the amount of materials/supplies needed for the project.

Global Perspective

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Exemplifies the skills of a global worker.
  1. Builds working relationships with others across cultures.
  1. Respects individual differences.
  1. Forms strong client relationships with international partners.
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.

Communication Skills

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Accurately attends to/understands ideas which are exchanged.
  1. Willing to accept feedback from others.
  1. Communicates effectively with all levels of the organization.
  1. Conducts impactful training sessions.
  1. Coaches others on their written communication skills

Self Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Does not allow own emotions to interfere with the performance of others.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Steps away from a situation to process appropriate response.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.

Emotional Intelligence

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Is able to manage their own emotions.
  1. Is able to control their own emotions.
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Able to understand others' points of view.

Managing Performance

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Ensures the eligibility of the proposed award recipient.
  1. Measures performance of goals and objectives.
  1. Addresses performance issues as soon as possible.
  1. Communicates OKRs to employees regularly during monthly meetings.
  1. Routinely holds audits of performance on a weekly or monthly basis.

Administrative Skill

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Implements and uses performance measures.
  1. Strong organizational skills to keep the workspace and department in order
  1. Able to develop, justify and present a budget.
  1. Has strong technical/computer skills.
  1. Takes responsibility for decisions.

Problem Solving

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Identifies and assesses all potential responses to a problem.
  1. Makes judgments based upon relevant information.
  1. Actively seeks the root cause of a problem.
  1. Effective in solving problems.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.


  1. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?


  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:


  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?


  8. Use the space below to enter any final comments you would like to be noted: