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. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Communicates the vision and strategy of [Company]
  1. Clearly articulates a vision for his/her work and inspires others to support it
  1. Expresses the Company vision in a way that is easily understood and adopted by employees.
  1. Creates a positive vision of the future for the Company.
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. Deals with difficult situations calmly and confidently.
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Delivers influential presentations.
  1. Communicates with department leadership
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
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. Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
  1. Is someone you can trust.
  1. Works to achieve established goals.
  1. Recognizes when a mistake is made and works to correct the issue.
  1. Takes personal responsibility for the quality of their work.
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 and learn new job skills.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Analyzes processes to determine areas for improvement.
  1. Promotes training and development opportunities to enhance job performance.
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. Takes into account the impact decisions will have on others.
  1. Exercises good judgment by making sound and informed decisions.
  1. Is aware of the impact of decisions and informs others about potential outcomes.
  1. Maintains focus on the "big picture" when making decisions.
  1. Has a good rapport other people which is helpful in making decisions on the team.
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. Organizes and schedules events, activities, and resources.
  1. Ability to establish realistic goals.
  1. Able to organize work.
  1. Sets long-term and short-term goals.
  1. Effectively organizes resources and plans
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. Gives new tasks to employees.
  1. Establishes goals that allow employees top operate independently in the field.
  1. Provides opportunities for employee development and growth.
  1. Allows subordinates to perform mission critical tasks.
  1. Allows employees the opportunity to take time off when needed.
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. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Develops the skills and capabilities of others.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
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. Able to see issues from others' perspectives.
  1. ...treats others with respect and dignity.
  1. Treats others with respect and dignity.
  1. Constructively receives criticism and suggestions from others.
  1. Is able to see issues from others' perspectives.
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.