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.

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. Says "thank you" to show appreciation for work of others.
  1. Readily shares credit and gives others opportunity for visibility.
  1. Compliments other people when they do good work
  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. Accurately implements contract provisions.
  1. Strong organizational skills to keep the workspace and department in order
  1. Implements and uses performance measures.
  1. Able to develop, justify and present a budget.
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. Creates an environment that supports personal development and exploration.
  1. Will participate in training classes even if offered outside of normal working hours.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Enjoys learning new skills and techniques.
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. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
  1. Promotes training and development opportunities to enhance job performance.
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. Seeks opportunities for continuous learning.
  1. Allows employees to fully participate in employee training and professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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. Investigates critical incidents that impact quality.
  1. Is flexible in addressing issues related to quality.
  1. Ensures the hiring of employees that have a quality focus.
  1. Adopts and implements best practices when it comes to quality procedures.
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. Able to balance the needs of different people in a solution to a problem.
  1. Identifies and assesses all potential responses to a problem.
  1. Solves problems using logic and insight.
  1. Actively seeks the root cause of a problem.
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. Works on critical tasks as quickly as possible.
  1. Ranks tasks based on importance to maximize available time.
  1. Gets a high volume of work done to avoid missing deadlines.
  1. Performs high-impact work first.
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. Provides direction and oversight for the compliance department.
  1. Periodically assesses the effectiveness of regulatory/compliance programs.
  1. Observes, monitors and coordinates compliance activities.
  1. Trains and coordinates activies of compliance officers.
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. Impresses upon others the important aspects of [Company].
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Attends [Company] gatherings and social events.
  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. Designs a forward-thinking strategy to achieve the department's growth goals.
  1. Diagnoses issues and envisions solutions.
  1. Envisions and articulates a clear path for the department's growth over the next year.
  1. Is able to diagnose issues and problems and to create a vision for their solutions.
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.