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Vision- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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; floating anchors)
Survey 14 (4-point scale; N/A)
Dear Employee:

Thank you for participating in a 360-degree feedback assessment. In this process, you will complete a self-assessment questionnaire (below). You will also receive feedback from others including your manager, peers and direct reports. As you respond, please respond using just your experiences in the past 12 months. Rate each item using the scale shown. 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 you at the conclusion of this assessment to help guide your ongoing professional development.

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 by .

Thank you for your participation in the survey.

Management Team



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Vision

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You develop a vision that is a catalyst for innovation and change.
  1. I focus efforts on implementing the organization's strategic vision.
  1. I develop a vision to empower employees to make more effective decisions.
  1. I create a vision to align corporate strategies with the organization's value system.
  1. I envision and articulate a clear path for the department's accelerated growth over the next year.


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You focus efforts on specific marketing strategies.
  1. You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  1. I maintain a strategic focus to sustain competitiveness in changing business environments.
  1. I can develop a strategic plan for adapting the organization to better respond to external changes in the marketplace.
  1. You develop a corporate strategy to establish business operations in different locations.


Accountability

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You hold employees responsible if expectations are not met.
  1. I consistently strive to meet high standards of excellence.
  1. You take charge of addressing and solving problems.
  1. You consistently follow through on commitments and promises.
  1. I maintain honesty and transparency in all communications.


Continual Improvement

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You analyze processes to determine areas for improvement.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You look for ways to improve work processes and procedures.
  1. You promote training and development opportunities to enhance job performance.
  1. You are open to the suggestions from others.


Administrative Skill

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You have a high attention to detail.
  1. You complete reports on-time.
  1. You are enthusiastic about taking on challenging projects.
  1. You implement and use performance measures.
  1. You have strong technical/computer skills.


Safety

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You support our company's safety programs.
  1. You keep accurate safety records.
  1. You encourage others to attend safety training.
  1. You create accurate and effective measures of safety.
  1. You seek to reduce the likelihood of accidents.


Developing Others

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You try to ensure employees are ready to move to the next level.
  1. You recognize and celebrates accomplishments of others.
  1. You provide constructive feedback to others.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You support the successes of other employees.


Coaching

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. You provide clear, motivating, and constructive feedback.
  1. You meet regularly with employees to coach them on areas that will enhance your performance
  1. You develop the skills and capabilities of others.
  1. You conduct regular performance appraisals and feedback.
  1. You coach employees in how to strengthen knowledge and skills to improve work performance.



  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.