Vision- 360 Degree Feedback Survey Sample #4





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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Sample Result Document:
Sample Results
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.




Vision

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Designs strategies that mirror the organization's unified vision.
  1. Communicates the vision effectively across the organization to motivate and guide employees.
  1. Detects problems early on and creates well-thought-out solutions to ensure the company continues to progress smoothly.
  1. Assigns the vision implementation to team members.
  1. Adept at creating and actualizing a strategic roadmap for the organization.

Entrepreneurship

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Excellent at managing relationships with stakeholders.
  1. Devotes a certain amount of time and effort to developing new business opportunities.
  1. Is comfortable operating in an environment of uncertainty.
  1. Encourages risk taking for developing potential business opportunities.
  1. Balances risks and rewards when making decisions.

Continual Improvement

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. Encourages an employee culture of continuous improvement to seek out better ways of doing things.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.

Supervisory Skills

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Communicates equally well with all employees.
  1. Recognizes when employees have completed major milestones.
  1. Measures job performance fairly using established criteria.
  1. Reviews performance against established measures.
  1. Effectively uses rewards to help motivate employees.

Time Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Focuses on tasks that have high priority.
  1. Diligently records billable hours.
  1. Understands the importance of being on time.
  1. Works quickly to keep on schedule.
  1. Organizes work responsibilities for maximum efficiency.

Change Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Assists others in understanding changes to the organization.
  1. Addresses organizational and departmental resistance to changes.
  1. Develops plans for following through on the changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Works cooperatively with others to implement changes.

Technical

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and expertise; sought out as resource by others

Responsible

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Completes assigned work tasks.
  1. ...takes personal responsibility for results.
  1. Sets a good example
  1. Is a person you can trust.
  1. Holds herself / himself accountable to goals / objectives

Conflict Management

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Attentively hears each person as they share their distinct viewpoints on the matter.
  1. Explores the feasibility of alternative solutions to resolve conflicts.
  1. Encourages team members to express their ideas and concerns openly.
  1. Initates collaborative processes to reduce conflict.
  1. Facilitates the resolution of grievances by fostering mutual understanding and appreciation of each party's needs.


  1. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?


  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:


  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?


  8. Use the space below to enter any final comments you would like to be noted: