Results Oriented - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

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

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.

Competencies Included:
Results Oriented, Adaptability, Feedback, Punctuality, Project Management
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.


Results Oriented

  • Achieves long and short-term goals.
  • Works toward achievement of goals even when confronted with obstacles.
  • Has a strong result orientation.
  • Establishes benchmarks to be met when working on projects.
  • Sets important goals for the department.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?

Adaptability

  • Learns from personal experiences and/or mistakes.
  • Is aware of changes in the environment.
  • Able to adjust to changing environments.
  • Handles changes easily.
  • Adjusts priorities to changing business goals.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Feedback

  • Shares past experiences with others as learning opportunities.
  • Asks others for their ideas and opinions.
  • Looks to others for input.
  • Considers other's opinion and suggestions.
  • Open to the suggestions of others.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Punctuality

  • Starts the workday when scheduled.
  • Conducts appointments at scheduled start time.
  • Arrives to meetings on time.
  • Starts meetings on time.
  • Responds to requests for information in a timely manner.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Project Management

  • Anticipates potential problems and institutes controls and contingency plans to address them.
  • Develops performance measures for various aspects of the project.
  • Determines the project strategy for implementation.
  • Works with customers and clients to assess their needs and define project parameters.
  • Schedules project phases and tasks to facilitate successful completion of the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


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