Punctuality - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Punctuality:
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)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between . The survey will only be available during these dates.


Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Starts the workday when scheduled.
  1. Conducts appointments at scheduled start time.
  1. Maintains an efficient schedule of activities.
  1. Starts meetings on time.
  1. Invoices clients on a timely basis.
What are your suggestions for how [Participant Name] can make improvements
in Punctuality?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates a lot of new ideas.
  1. Develops solutions to challenging problems.
  1. Is creative.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Addresses safety issues immediately.
  1. Takes advantage of changes to the current situation.
  1. Does whatever it takes (within reason) to get the job done.
  1. Is not afraid to take corrective action when necessary.
  1. Changes course to meet the needs of a new situation.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides employees with necessary resources to accomplish their goals.
  1. Sets performance expectations that are clear, specific and concise.
  1. Assigns additional responsibilities to facilitate internal employee promotions.
  1. Addresses performance issues as soon as possible.
  1. Establishes measures of performance.
What are your suggestions for how [Participant Name] can make improvements
in Managing Performance?

Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Sets a high standard for job performance.
  1. ...Overall Performance
  1. Listens and responds to issues and problems
  1. Works effectively in the department.
  1. Works well in this position.
What are your suggestions for how [Participant Name] can make improvements
in Performance?

Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adopts changes to set and example for others to follow.
  1. Develops plans for following through on the changes.
  1. Works cooperatively with others to implement changes.
  1. Develops a strategy for implementing changes.
  1. Is a leading force driving changes.
What are your suggestions for how [Participant Name] can make improvements
in Change Management?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Maximizes the use of new technology to deliver products and services.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
  1. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
  1. Produces high quality work.
What are your suggestions for how [Participant Name] can make improvements
in Excellence?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Focuses on maintaining good relationships with customers.
  1. Consistently exceeds customer expectations.
  1. Provides a responsive service that meets the needs of customers.
  1. Exhibits a positive attitude even when dealing with difficult customers.
  1. Creates new and innovative products for customers.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Partnering/Networking

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Partners with peers to obtain influence within the Company.
  1. Develops a sense of trust in subordinates so they can freely interact and share information with others.
  1. Builds alliances between departments and teams.
  1. Creates value within the Company by building networks.
  1. Supports a partnering/networking culture.
What are your suggestions for how [Participant Name] can make improvements
in Partnering/Networking?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Works across boundaries within the organization.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Able to see issues from others' perspectives.
  1. Treats others with respect and dignity.
  1. Constructively receives criticism and suggestions from others.
What are your suggestions for how [Participant Name] can make improvements
in Others?


  1. Strengths


  2. Areas for Development


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