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. Sets important goals for the department.
  1. Achieves long and short-term goals.
  1. Determines the best approach to achieving the expected results.
  1. Strives to achieve high volume of output.
  1. Overcomes obstacles to continue working toward goals.
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. Establishes the tasks and direction for the team.
  1. Is not afraid to take action when necessary.
  1. Addresses performance issues quickly.
  1. Does whatever it takes (within reason) to get the job done.
  1. Delegates tasks and assignments to subordinates as soon as a request has been made.
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. Asks the "right" questions to size up or evaluate situations.
  1. Analyzes issues and reduces them to their component parts.
  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. Uses appropriate techniques to solve problems.
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. Initiates important conversation topics at meetings.
  1. Prepares for unexpected contingencies.
  1. Addresses small problems before they become big ones.
  1. Initiates draft documents for the director.
  1. Confronts problems immediately without supervisor instructions.
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. Switches attention to more urgent tasks when necessary.
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Organizes tasks for the most efficient order of completion.
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. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Is planful and organized.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the analytical skills to do their job.
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 that OKRs are aligned with company objectives.
  1. Clearly articulates the performance requirements for the position.
  1. Sets clear and ambitious goals to be met.
  1. Is consistent in disciplinary/corrective actions.
  1. Increases responsibilities for high performing individuals.
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. Adds value to the department/organization.
  1. Is creative and inspirational.
  1. Conceives, implements and evaluates ideas.
  1. Is creative.
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. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Takes immediate action on poor performance
  1. Gives others development opportunities through project assignments and increased job responsibilities
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.