Planning- 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Planning mean?
It means that ...
  • You are able to look ahead (beyond the present) when addressing the work/needs of the department.
  • You delegate role to team members to accomplish goals.
  • You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
  • You work in an organized manner
  • You are able to identify the needs of the department before a major change.

To what extent does this person exhibit Planning?
Select from one of the ratings below.


What does Accountability mean?
It means that ...
  • You accept accountability for your actions and results.
  • You keep you supervisor informed of recent events.
  • You are aware of problems or issues that may affect the organization.
  • You implement and facilitate controls and processes that maintain the integrity of the organization.
  • You tackle issues head on and finds solutions.

To what extent does this person exhibit Accountability?
Select from one of the ratings below.

Continual Improvement

What does Continual Improvement mean?
It means that ...
  • You analyze processes to determine areas for improvement.
  • You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  • You are open to the suggestions from others.
  • You look for ways to expand current job responsibilities.
  • You look for ways to improve work processes and procedures.

To what extent does this person exhibit Continual Improvement?
Select from one of the ratings below.


What does Excellence mean?
It means that ...
  • You demonstrate the analytical skills to do your job.
  • You are planful and organized.
  • You take a lot of pride in your work.
  • You can be counted on to add value wherever you are involved.
  • You produce high quality work.

To what extent does this person exhibit Excellence?
Select from one of the ratings below.

Juggling Multiple Responsibilities

What does Juggling Multiple Responsibilities mean?
It means that ...
  • You manage impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  • You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  • You assess current capabilities before committing to new requests from customers.
  • You plan and organize continuously while performing all other responsibilities and activities.
  • You bounce back from daily crisis, disappointments and frustrations.

To what extent does this person exhibit Juggling Multiple Responsibilities?
Select from one of the ratings below.

Areas for Development

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