Recognition- 360 Degree Feedback Survey Sample #2





Surveys Measuring Recognition:
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.

Competencies Included:
Recognition, Administrative Skill, Passion To Learn, Continual Improvement, Professional Development, Quality, Problem Solving, Time Management, Regulatory/Compliance, Company, Vision
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.


Recognition

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Offers recognition in a timely manner.
  1. Says "thank you" to show appreciation for work of others.
  1. Is sincerely interested in the suggestions of co-workers
  1. Readily shares credit and gives others opportunity for visibility.
What are your suggestions for how [Participant Name] can make improvements
in Recognition?

Administrative Skill

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has strong technical/computer skills.
  1. Accurately implements contract provisions.
  1. High attention to detail.
  1. Implements and uses performance measures.
What are your suggestions for how [Participant Name] can make improvements
in Administrative Skill?

Passion To Learn

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Is open minded and curious about learning new skills.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Embraces new technology and procedures.
What are your suggestions for how [Participant Name] can make improvements
in Passion To Learn?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Promotes training and development opportunities to enhance job performance.
  1. Analyzes processes to determine areas for improvement.
  1. Looks for ways to expand and learn new job skills.
  1. Looks for ways to expand current job responsibilities.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Professional Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Contributing fully to the extent of their skills
  1. Allows employees to fully participate in employee training and professional development.
  1. Seeks opportunities for continuous learning.
  1. Keep themselves up-to-date of technical/professional issues
What are your suggestions for how [Participant Name] can make improvements
in Professional Development?

Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Addresses barriers to successfully implementing quality standards.
  1. Analyzes quality improvement plans and initiatives.
  1. Develops and maintains quality control checklists for the manufacturing department.
  1. Adjusts processes or procedures to improve quality results.
What are your suggestions for how [Participant Name] can make improvements
in Quality?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Effective in solving problems.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Ability to develop innovative solutions to problems.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Time Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Prioritizes major tasks over smaller ones.
  1. Manages the workload effectively in order to stay on schedule.
  1. Starts projects without delay.
  1. Works quickly to keep on schedule.
What are your suggestions for how [Participant Name] can make improvements
in Time Management?

Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Appoints a supervisory committee to ensure effective oversight of the organization.
  1. Ensures the company meets legal requirements/standards regarding employees.
  1. Creates and distributes code of ethics and code of conduct.
  1. Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
What are your suggestions for how [Participant Name] can make improvements
in Regulatory/Compliance?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Attends [Company] gatherings and social events.
  1. Understands the use of [Company] products and services.
  1. Follows existing procedures and processes.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
What are your suggestions for how [Participant Name] can make improvements
in Company?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Establishes a timeline for attainment of the organization's vision.
  1. Engages with key stakeholders to gather insights and ensure alignment with the organization's mission and vision.
  1. Ensures that work is systematically aligned and coordinated with the organization's vision.
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


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