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Results Oriented - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

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

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results
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Results Oriented

  • Quickly analyzes the situation to determine the most pressing needs.
  • Adapts to disruptions in the supply chain to maintain production levels.
  • Helps others when free-time is available.
  • Achieves high levels of performance.
  • Overcomes obstacles to continue working toward goals.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?

Adaptability

  • Adapts to changes in team membership.
  • Able to quickly learn new ways of performing their job.
  • Is proactive and takes steps to prepare for changes in the workplace.
  • Adjusts to the new vision and mission of the company.
  • Can take on new assignments.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Feedback

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

Punctuality

  • Avoids making personal phone calls during working hours.
  • Maintains an efficient schedule of activities.
  • Starts the workday when scheduled.
  • Conducts appointments at scheduled start time.
  • Arrives to meetings on time.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Project Management

  • Develops action items, workplans, timelines, and criteria for projects.
  • Identifies potential risks that could pose challenges to the project timeline.
  • Regularly measures and records progress of the project.
  • Develops performance measures for various aspects of the project.
  • Engages with individuals internally and externally to support the implementation 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.