Quality - 360 Degree Feedback Survey Sample #13





Questionnaires Measuring Quality:
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

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Quality

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Evaluates and improves the quality of services and products.
  1. Recognizes their role in promoting quality and safety in the workplace.
  1. Creates quality improvement programs and processes.
  1. Adjusts processes or procedures to improve quality results.
  1. Proposes a variety of solutions to address quality needs.
  1. Creates a culture of quality standards in the workplace.
  1. Effectively coordinates with other departments to improve quality.
  1. Designs effective quality control systems.
  1. Reflects on what is working and what could be improved.


Achievement

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Met required benchmarks for the position.
  1. Makes use of talents of others to help achieve a high level of performance.
  1. Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. Improved the quality of work on the production line.
  1. Demonstrates improvement in performance.


Bias for Action

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Displays high energy and enthusiasm on consistent basis.
  1. Encourages risk taking and experimentation to improve performance
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Conveys a sense of urgency about addressing problems and opportunities


Integrity

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Fosters a high standard of ethics and integrity.
  1. Maintains strong relationships with others.
  1. Demonstrates sincerity in actions with others.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Demonstrates honesty and truthfulness at all times.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Encourages open dialog and sharing of information among team members.
  1. Is open to unique and creative ideas from others.
  1. Builds relationships with suppliers to improve communications and reduce misunderstandings and delays.
  1. Is a trustworthy and credible partner.
  1. Integrates technology to boost collaborative work on process and policy documentation.


Client Focus

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Uses feedback from the client to help improve the client's experience.
  1. Demonstrates a commitment to client focus.
  1. Adapts to changes proposed by the client.
  1. Consistently exceeds client expectations.
  1. Is competent in handling client cases.


Planning

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Anticipates obstacles and ways to overcome them.
  1. Has developed an effective strategic plan.
  1. Ensures staff have the supplies and resources necessary to enact the plan.
  1. Effectively uses logistics planning to reduce supply delays.
  1. Conducts regular assessments of the project status to ensure adherence to the set schedule.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


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







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