Results Oriented - 360 Degree Feedback Survey Sample #2





Results Oriented Questionnaires:
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:
Results Oriented, Action, Analytical, Initiative, Juggling Multiple Responsibilities, Excellence, Managing Performance, Creativity, Co-worker 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.


Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has a strong drive to complete goals despite obstacles that may arise.
  1. Recognizes the problem that needs to be solved.
  1. Prioritizes goals to complete those in urgent need first.
  1. Sets challenging goals to be achieved.
  1. Achieves performance benchmarks.
What are your suggestions for how [Participant Name] can make improvements
in Results Oriented?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Effectively makes decisions
  1. Takes corrective action when necessary.
  1. Rapidly adapts to changes in the situation.
  1. Takes action to respond to dissatisfied customer.
  1. Immediately develops alternatives and solutions when presented with a problem or issue.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Identifies the root cause of a problem.
  1. Prioritizes various actions to be taken when solving a problem.
  1. Balances risks and costs with the rewards and probabilities of success when decisions.
  1. Analyzes issues and reduces them to their component parts.
  1. Asks the "right" questions to size up or evaluate situations.
What are your suggestions for how [Participant Name] can make improvements
in Analytical?

Initiative

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Begins immediate action on projects.
  1. Takes the initiative to solve pressing issues.
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Is an inspiration for others to perform above expectations.
  1. Creates solutions to problems as soon as an incident occurs.
What are your suggestions for how [Participant Name] can make improvements
in Initiative?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Determines which tasks are critical and which tasks are optional.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Spends the most time and effort on critical tasks first.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
What are your suggestions for how [Participant Name] can make improvements
in Juggling Multiple Responsibilities?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates the analytical skills to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
What are your suggestions for how [Participant Name] can make improvements
in Excellence?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ensures Job Descriptions are up to date and accurate.
  1. Sets performance expectations that are clear, specific and concise.
  1. Uses weekly staff meetings to assess performance of key responsibilities.
  1. Plans and sets work expectations.
  1. Provides employees with necessary resources to accomplish their goals.
What are your suggestions for how [Participant Name] can make improvements
in Managing Performance?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Inspires creativity in their team.
  1. Is creative and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Creates a lot of new ideas.
  1. Develops solutions to challenging problems.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Co-worker Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
What are your suggestions for how [Participant Name] can make improvements
in Co-worker Development?


  1. Strengths


  2. Areas for Development


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