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Strategic Insight- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Surveys Measuring Strategic Insight:
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)
Dear Employee:

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 Closing Comments section. 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.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team



Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Formulates policies and strategies for addressing the Company's important challenges.
  1. Implements long-term solutions to problems.
  1. Analyzes unique issues or problems impacting the Company.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Communicates vision for the department and company.


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
  1. Able to align resources to meet the business needs of the company.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Applies the knowledge of work processes to influence the achievement of business goals


Flexibility

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Willing to try new ideas.
  1. Acts decisively in frequently changing and uncertain environment.
  1. Encourages others to adopt new procedures.
  1. Effective in incorporating new ideas.
  1. Can handle changes without complaining.


Bias for Action

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Completes a large volume of work.
  1. Motivates others to achieve or exceed goals


Passion To Learn

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Critiques own performance and learns from experience as a source of continuous improvement.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Holds self and associates accountable for goal achievement.
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.


Leadership

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Acts decisively in implementing decisions.
  1. Demonstrates leadership and courage in critical situations.
  1. Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
  1. Takes ownership and accountability for results
  1. Effectively leads others.


Results Oriented

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Explains the "whys" behind organizational objectives
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Stays focused on meeting the needs of customers.
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Provides clear expectations for employees.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Supports the successes of other employees.
  1. Creates opportunities for professional development.
  1. Recognizes and celebrates accomplishments of others.
  1. Sets performance objectives for subordinates that encourages development opportunities.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


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