Vision- 360 Degree Feedback Survey Sample #2





Surveys Measuring Vision:
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

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Vision, Communication Skills, Accountability, Continual Improvement, Decision Making, Objectives, Empowering Others, Coaching, Others
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.

Please ensure that your submission is made between . The survey will only be available during these dates.


Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates the vision effectively across the organization to motivate and guide employees.
  1. Builds a culture that reinforces the manager's vision.
  1. Fosters a leadership vision that promotes innovation and growth.
  1. Skilled in developing and realizing a comprehensive organizational vision.
  1. Effectively communicates the vision to employees.
What are your suggestions for how [Participant Name] can make improvements
in Vision?

Communication Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is professional at all times--never ridiculing, mocking or undermining peers or subordinates.
  1. Informs supervisor about progress made on goals and objectives.
  1. Notifies others about developments in plans and goals.
  1. Ensures comprehension during conversations or group presentations.
  1. Willing to communicate issues and concerns to colleagues.
What are your suggestions for how [Participant Name] can make improvements
in Communication Skills?

Accountability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes full responsibility for unmet expectations and makes corrective actions immediately.
  1. Always keeps the supervisor informed of relevant information.
  1. Takes ownership of problems to find the best solutions.
  1. Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
  1. Recognizes when a mistake is made and works to correct the issue.
What are your suggestions for how [Participant Name] can make improvements
in Accountability?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Looks for ways to expand current job responsibilities.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Looks for ways to expand and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Analyzes processes to determine areas for improvement.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Facilitates meetings with others to try to consider alternative courses of action.
  1. Remains focused on the immediate goal when making decisions.
  1. Examines relevant factors needed to make a decision.
  1. Views the issues from multiple perspectives before making a decision.
  1. Formulates imaginative decisions.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Ability to establish realistic goals.
  1. Effectively organizes resources and plans
  1. Organizes and schedules events, activities, and resources.
  1. Works toward achieving established goals and objectives.
  1. Establishes goals and objectives.
What are your suggestions for how [Participant Name] can make improvements
in Objectives?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Enables team members to make their own decisions on the project.
  1. Gives new tasks to employees.
  1. Values the input from others.
  1. Allows employees to take ownership of their work.
  1. Views others in the department as valued assets to be trained and employed.
What are your suggestions for how [Participant Name] can make improvements
in Empowering Others?

Coaching

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Conducts regular performance appraisals and feedback.
What are your suggestions for how [Participant Name] can make improvements
in Coaching?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helpful
  1. Is able to see issues from others' perspectives.
  1. Respects the opinions of other employees.
  1. Constructively receives criticism and suggestions from others.
  1. Includes others in the decision making processes.
What are your suggestions for how [Participant Name] can make improvements
in Others?


  1. Strengths


  2. Areas for Development


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