Results Oriented - 360 Degree Feedback Survey Sample #9

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)

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.

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.

Results Oriented

Definite Strength Meets Standards Needs Development N/A
  1. Directs team in prioritizing daily work activities
  1. Does not become distracted by non-issues or interruptions.
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Stays focused on meeting the needs of customers.
  1. Inspires and motivates co-workers to be productive and energetic at work


Definite Strength Meets Standards Needs Development N/A
  1. Has great overall performance
  1. Listens and responds to issues and problems
  1. Effective in performing his/her job.
  1. ...Produce Quality
  1. ...Overall Performance


Definite Strength Meets Standards Needs Development N/A
  1. Makes effective decisions, even when under pressure.
  1. Drives and mobilizes others progress toward goals.
  1. Motivates & supports others to gain skills
  1. Gets the job done.
  1. Displays high energy and enthusiasm on consistent basis.

Professional Development

Definite Strength Meets Standards Needs Development N/A
  1. Seeks opportunities for professional development.
  1. Demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. Allows employees to fully participate in employee training and professional development.
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Contributing fully to the extent of their skills

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Develops employees by offering and encouraging them to take on new or additional responsibilities.
  1. Sets performance objectives for subordinates that encourages development opportunities.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Is open to receiving feedback.
  1. Assigns tasks and responsibilities to develop skills of others.

Problem Solving

Definite Strength Meets Standards Needs Development N/A
  1. Works cooperatively with others to solve problems.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Is a good problem solver and decision maker
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Solves problems using logic and insight.

Time Management

Definite Strength Meets Standards Needs Development N/A
  1. Deals effectively with interruptions.
  1. Keeps and maintains a To-Do list.
  1. Focuses on tasks that have high priority.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Completes tasks ahead of schedule.


Definite Strength Meets Standards Needs Development N/A
  1. Set high standards in their performance
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Systematically works to improve the organization


Definite Strength Meets Standards Needs Development N/A
  1. Attends to the important details of a job or task.
  1. Avoids creating ambiguity or mixed messages.
  1. Checks details thoroughly.
  1. Avoids stating unclear or conflicting goals.
  1. Communicates ideas and facts clearly and effectively in writing.


Definite Strength Meets Standards Needs Development N/A
  1. Takes care to maintain confidential information.
  1. Is trustworthy; is someone I can trust.
  1. Demonstrates congruence between statements and actions.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Takes ownership, delivers on commitments

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.