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Results Oriented - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Results Oriented:
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:
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.
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Results Oriented

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Stays focused on meeting the needs of customers.
  1. Makes sure employees have the resources they need to achieve their results.
  1. Creates measures of performance to track progress.
  1. Exceeds performance requirements.
  1. Completed work exceeds standards.
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. Drives and mobilizes others progress toward goals.
  1. Will take action to address a problem rather than to wait to confer with others about the situation.
  1. Takes advantage of changes to the current situation.
  1. Undertakes actions to achieve specific goals.
  1. Works quickly to get the job done.
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. Creates graphs, charts, and other visual representations of data making it easier to interpret and communicate findings.
  1. Connects experiences, analyzes the facts and spots issues across a wide array of legal and business issues to see patterns and draw conclusions not readily apparent to others.
  1. Audits financial records to detect fraud or errors.
  1. Creates detailed budgets that guide financial planning and decision-making.
  1. Identifies discrepancies and inconsistencies in reports.
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. Acts with urgency when time is of the essence.
  1. Informs the manager of any important changes in the equipment operation.
  1. Is a self-starter. Does not wait to be told to do something.
  1. Takes on extra projects after required work is completed.
  1. Quickly comes to the aid of those who may need help.
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. Spends the most time and effort on critical tasks first.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
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. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Takes a lot of pride in their work.
  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. Uses timely and appropriate corrective/disciplinary actions.
  1. Recognizes team members when they contribute significantly to the team.
  1. Monitors performance on a regular basis.
  1. Records production quotas on a daily basis.
  1. Stresses the importance of meeting production quotas.
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. Develops solutions to challenging problems.
  1. Is creative and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Adds value to the department/organization.
  1. Creates a lot of new ideas.
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. Works to identify root causes of performance problems
  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
  1. Takes immediate action on poor performance
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
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.