hr-survey.com

Planning- 360 Degree Feedback Survey Sample #12





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

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

  • Notifies staff when the plan is not on schedule.
  • Accurately estimates the amount of materials/supplies needed for the project.
  • Anticipates the impacts of strategic plans.
  • Assigns the right tasks to the right people and holds them accountable.
  • Conducts regular assessments of the project status to ensure adherence to the set schedule.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Self Management

  • Consciously controls own negative emotions in order to keep team morale up.
  • Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  • Analyzes interpersonal problems instead of reacting to them.
  • Steps away from a situation to process appropriate response.
  • Uses patience and self-control in working with customers and associates.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Emotional Intelligence

  • Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  • Accurately perceives the emotional reactions of others.
  • Is attentive to emotional cues and interprets others' feelings correctly.
  • Able to understand others' points of view.
  • Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Technical

  • Knows how to produce high quality products/work.
  • Seeks information from others as needed.
  • Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  • Is knowledgeable of procedures or systems necessary for the job.
  • Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Trustworthy

  • Is trustworthy; is someone I can trust.
  • Demonstrates a sense of responsibility and commitment to public trust.
  • Demonstrates congruence between statements and actions.
  • Communicates an understanding of the other person's interests, needs and concerns.
  • Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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