Trustworthy - 360 Degree Feedback Survey Sample #7





360 Feedback Survey

Questionnaires Measuring Trustworthy:
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 are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

Sample Result Document:
Sample Results
In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Trustworthy

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Delivers on promises made.
  1. Takes care to maintain confidential information.
  1. Takes ownership, delivers on commitments
  1. Builds and maintains the trust of others.
  1. Is a person you can trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Passion To Learn

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Enjoys learning new skills and techniques.
  1. Enhances value to the company through additional training and development.
  1. Is open minded and curious about learning new skills.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

Attitude

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Visibly supports and encourages diversity in style and background.
  1. Treats all people fairly and with respect.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Builds open and trusting relationships.
If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Emotional Intelligence

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to manage their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to express themselves clearly.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Innovation

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Encourages open communication to ensure that all proposals are considered.
  1. Develops effective solutions for viewing problems from a different point of view.
  1. Values diverse opinions among team members.
  1. Simplifies processes and reduce bureaucratic hurdles that might stifle creativity and innovation.
  1. Offers innovative solutions to Company problems.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?

Achievement

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Systematically works to improve the organization
  1. Strives to meet goals and objectives.
  1. Follows-up and takes action when goals are not met to ensure better results in the future.
  1. Helps others to improve or meet standards of performance.
  1. Accepts setbacks and challenges as improvement opportunities
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?

Objectives

Needs
Improvement
Fully
Proficient
Excels/
Role Model
Not
Applicable
  1. Encourages me to take on greater responsibility.
  1. Able to organize work.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Establishes goals and objectives.
  1. Effectively organizes resources and plans
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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