Vision- 360 Degree Feedback Survey Sample #6





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:

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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





Vision

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Entrusts team members with executing the vision.
  1. Creates a vision to align corporate strategies with the organization's value system.
  1. Focuses efforts on implementing the organization's strategic vision.
  1. Channels team activities towards the vision's core aspects.
  1. Designs and implements a forward-looking vision for the company.


Strategic Insight

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
  1. Strategically aligns projects to the goals of the company.
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Identifies potential problems before they become critical incidents.
  1. Inspires employees to adopt the strategic plan.


Feedback

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Open to the suggestions of others.
  1. Actively seeks feedback from others.
  1. Shares past experiences with others as learning opportunities.
  1. Looks to others for input.
  1. Is visible and approachable.


Innovation

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Investigates all types of innovations.
  1. Values diverse opinions among team members.
  1. Champions changes within the organization.
  1. Is open to innovative ideas.
  1. Finds creative ways to get things done with limited resources.


Commitment To Result

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Able to focus on a task even when working alone.
  1. Encourages commitment in others to obtain results.
  1. Coordinates all department activities into a cohesive team effort.
  1. Committed to the team.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.


Clarity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Is clear about goals that need to be achieved.
  1. Attends to the important details of a job or task.
  1. Avoids creating ambiguity or mixed messages.
  1. Clarifies problems and their causes to help employees correct them.
  1. Seeks to reduce ambiguity in messaging and documents.


Regulatory/Compliance

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Ensures regulations are followed as required.
  1. Coordinates with legal counsel in conducting audits of legal compliance.
  1. Effectively manages a department of compliance officers.
  1. Creates an oversight panel to provide comprehensive supervision for the organization.
  1. Follows up on any unresolved compliance issues.


Client Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Responds to the needs of the client.
  1. Manages client accounts with high degree of competence.
  1. Exceeds expectations of the clients.
  1. Ensures clients' expectations are met or exceeded.
  1. Fosters an environment that supports strong client focus.


Empowering Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Gives employees input into the decision making process.
  1. Allows employees to take training to increase their skill levels so that they can be more independent.
  1. Set clear goals for assignments.
  1. Values the expertise that others bring to the team.
  1. Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.


Partnering/Networking

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Develops a sense of trust in subordinates so they can freely interact and share information with others.
  1. Forms strategic partnerships and business alliances to expand opportunities.
  1. Develops important industry contacts to facilitate business goals.
  1. Seeks opportunities to collaborate across organizational boundaries.
  1. Searches for a common solution to shared problems or issues.


Teamwork

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Coaches team members to work toward a common goal.
  1. Makes sure each team member participates in the task.
  1. Builds strong relationships with team members.
  1. Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
  1. Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.