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 have developed an effective strategic plan.
  • I can develop strategic plans for ensuring competitiveness in the marketplace.
  • I understand what equipment will be needed for the project.
  • I anticipate challenges and have plans to overcome them.
  • I am able to stay organized and focused using excellent planning skills.

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


What does Accountability mean?
It means that ...
  • You tackle issues head on and finds solutions.
  • You are someone who is trustworthy.
  • You create a consistent process for prioritizing work.
  • You accept accountability for your actions and results.
  • You can be counted on to do what you say you are going to do.

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 look for ways to improve work processes and procedures.
  • You promote training and development opportunities to enhance job performance.
  • You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  • You look for ways to expand and learn new job skills.
  • You are open to the suggestions from others.

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


What does Excellence mean?
It means that ...
  • You take a lot of pride in your work.
  • You are planful and organized.
  • You keep yourself and others focused on constant improvement.
  • You produce high quality work.
  • You can be counted on to add value wherever you are involved.

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 keep track of multiple assignments and deadlines.
  • You determine which tasks are critical and which tasks are optional.
  • You avoid bottlenecks in progress by assigning multiple individuals to critical tasks.
  • You use a scheduler/planner to keep tasks organized and on time.
  • You ensure that assignments are prioritized according to the needs of the department/company.

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.