Responsibility - 360 Degree Feedback Survey Sample #11





360 Feedback Survey

Questionnaires Measuring Responsibility:
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

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Competencies Included:
Responsible, Excellence, Continual Learning, Delegation, Global Perspective
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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Responsible

What does Responsible mean?
It means that ...
  • You are responsible for setting the vision of the department.
  • You set a good example
  • You complete assigned work tasks.
  • You hold yourself accountable to goals / objectives
  • Your behavior is ethical and honest.

To what extent does this person exhibit Responsible?
Select from one of the ratings below.

Excellence

What does Excellence mean?
It means that ...
  • You produce high quality work.
  • You keep yourself and others focused on constant improvement.
  • You demonstrate the functional or technical skills necessary to do your job.
  • You demonstrate the analytical skills to do your job.
  • You can be counted on to add value wherever you are involved.

To what extent does this person exhibit Excellence?
Select from one of the ratings below.

Continual Learning

What does Continual Learning mean?
It means that ...
  • You pursue learning that will enhance job performance.
  • You grasp new ideas, concepts, technical, or business knowledge.
  • You participate in regular training offered.
  • You seek opportunities to grow in skills and knowledge.
  • You pursue professional development opportunities when they arise.

To what extent does this person exhibit Continual Learning?
Select from one of the ratings below.

Delegation

What does Delegation mean?
It means that ...
  • You assign tasks to create learning opportunities for the employees.
  • You clearly define duties and tasks to be completed.
  • You set clear and reasonable expectations for others and follow through on their progress.
  • You define the roles, responsibilities, required actions, and deadlines for team members.
  • You allow subordinates to use their own methods and procedures.

To what extent does this person exhibit Delegation?
Select from one of the ratings below.

Global Perspective

What does Global Perspective mean?
It means that ...
  • You volunteer for experiences and assignments abroad.
  • You attend training seminars and conferences to increase skills in working with others globally.
  • You understand global systems such as the global economy.
  • You develop both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  • You collaborate with others respectfully and effectively with other people regardless of differences in cultural backgrounds.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.
Strengths


Areas for Development


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