Planning- 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Assessments 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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.


Definite Strength Meets Standards Needs Development N/A
  1. Accurately estimates the duration of tasks.
  1. Accomplishes major tasks by breaking them into manageable pieces.
  1. Anticipates resources needed to successfully implement a plan or project.
  1. Purchases equipment and software that will be needed in the future.
  1. Establishes a course of action for self and others to accomplish specific goals.


Definite Strength Meets Standards Needs Development N/A
  1. Able to adapt the department to changing business demands and climate.
  1. Maintains a high level of energy to respond to demands of the job.
  1. Takes the initiative to complete tasks.
  1. Encourages dynamic growth opportunities.
  1. Has a strategic awareness on how to promote the organization.


Definite Strength Meets Standards Needs Development N/A
  1. Adds value to the department/organization.
  1. Is creative.
  1. Creates a lot of new ideas.
  1. Is creative and inspirational.
  1. Develops solutions to challenging problems.


Definite Strength Meets Standards Needs Development N/A
  1. Leads team to set goals, solve problems, and accomplish tasks.
  1. Gives direct, constructive, and actionable feedback.
  1. Takes ownership and accountability for results
  1. Able to organize the work of others.
  1. Able to align manpower, design work, an allocate tasks to achieve goals.


Definite Strength Meets Standards Needs Development N/A
  1. Effective in performing his/her job.
  1. Effectively organizes resources and plans
  1. Able to organize work.
  1. ...Produce Quality
  1. Shown significant improvement in job performance.

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Assesses employees' developmental needs.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Encourages employees through recognition of positive changes in behavior.
  1. Tries to ensure employees are ready to move to the next level.
  1. Sets performance objectives for subordinates that encourages development opportunities.

Conflict Management

Definite Strength Meets Standards Needs Development N/A
  1. Assists team members by helping them see the other point of view.
  1. Tries to understand others' point of view before making judgments
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Discusses conflict situations with supervisor.
  1. Identifies and takes steps to prevent potential confrontations.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

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