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 work ethic with a strong desire to obtain results.
  1. Sets a common goals for the team.
  1. Achieves long and short-term goals.
  1. Works hard despite obstacles that impede progress.
  1. Sets priorities for tasks to be completed.
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. Is proactive in addressing the needs of the department.
  1. Completes tasks despite obstacles encountered.
  1. Works quickly when faced with difficult problems.
  1. Creates performance measures to ensure action by the department.
  1. Takes corrective action when necessary.
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. 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. Asks the "right" questions to size up or evaluate situations.
  1. Identifies the root cause of a problem.
  1. Implements data validation techniques and methods.
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 quickly when an opportunity becomes available.
  1. Takes on additional tasks without being asked or told to do so.
  1. Is a self-starter. Does not wait to be told to do something.
  1. Immediately works to complete goals well before their deadline.
  1. Engages with new customers immediately.
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. Prioritizes tasks for efficiency.
  1. Assigns tasks based on skills of team members.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Keeps track of multiple assignments and deadlines.
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. Can be counted on to add value wherever they are involved.
  1. Demonstrates the analytical skills to do their job.
  1. Takes a lot of pride in their work.
  1. Is planful and organized.
  1. Keeps themselves and others focused on constant improvement.
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. Is consistent in disciplinary/corrective actions.
  1. Links qualitative objectives to quantitative key results.
  1. Sets performance expectations that are clear, specific and concise.
  1. Rewards exceptional individuals with additional responsibilities.
  1. Rewards individuals who show imagination in developing creative solutions to problems.
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. Is creative and inspirational.
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Is creative.
  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. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Provides ongoing feedback to co-workers on their development progress
  1. Takes immediate action on poor performance
  1. Works to identify root causes of performance problems
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.