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

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Recognizes team members who offer a significant contribution to a project.
  1. Makes people around them feel appreciated and valued.
  1. Offers recognition in a timely manner.
  1. Reinforces and rewards employees for accomplishing necessary goals.
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. Completes reports on-time.
  1. Has strong technical/computer skills.
  1. Implements and uses performance measures.
  1. Takes responsibility for decisions.
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. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Takes advantage of training opportunities when they arise.
  1. Inspires others to learn new things.
  1. Takes initiative for own learning and development.
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. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Analyzes processes to determine areas for improvement.
  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. Allows employees to fully participate in employee training and professional development.
  1. Keep themselves up-to-date of technical/professional issues
  1. Seeks opportunities for continuous learning.
  1. Quickly acquire and apply new knowledge and skills when needed
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. Develops and maintains quality control checklists for the manufacturing department.
  1. Adopts, integrates, and disseminates quality guidelines and standards.
  1. Corrects issues in a timely manner.
  1. Is innovative and creative in response to issues involving quality of the products.
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. Solves problems at root cause rather than at symptom level.
  1. Illuminates the problem by identifying the gap between expected outcomes and the current situation.
  1. Able to meet the needs of different constituents in the solution of a problem.
  1. Is flexible and adjusts the solution as needed based on the monitoring data and feedback received.
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. Reacts promptly to inquiries from customers/clients.
  1. Uses agendas when chairing or facilitating meetings.
  1. Sets a good balance between work and family life.
  1. Stays undistracted by personal devices while on the clock.
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. Follows all safety regulations and procedures.
  1. Uses software tools to monitor compliance and track issues to help identify and respond to non-compliance.
  1. Is professional and courteous in interactions with auditors and regulators.
  1. Establishes clear communication channels and lines of communication for compliance related issues.
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. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Impresses upon others the important aspects of [Company].
  1. Attends [Company] gatherings and social events.
  1. Understands the use of [Company] products and services.
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. Sets a schedule for achieving the organization's vision.
  1. Develops strategies that align with the organization's collective vision.
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Supports a culture of the department that is willing to implement the company's vision.
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.