Vision- 360 Degree Feedback Survey Sample #11





360 Feedback Survey

Assessments 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

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Competencies Included:
Vision, Cultural Awareness, Delegation, Partnering/Networking, Adaptability
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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


Vision

What does Vision mean?
It means that ...
  • You clearly articulate a vision for your work and inspires others to support it
  • You create a positive vision of the future for the Company.
  • You communicate a vision of where the Company needs to be in the future.
  • You communicate the vision and strategy of [Company]
  • You develop action plans to align your work with the goals of the organization

To what extent does this person exhibit Vision?
Select from one of the ratings below.

Cultural Awareness

What does Cultural Awareness mean?
It means that ...
  • You are willing to work with employees who have different cultural backgrounds.
  • I am aware of differences in how individuals from other cultures greet one another.
  • You encourage a work environment where individual differences are valued.
  • I am effective in working with individuals with a variety of cultural backgrounds.
  • I seek clarification to avoid misunderstandings.

To what extent does this person exhibit Cultural Awareness?
Select from one of the ratings below.

Delegation

What does Delegation mean?
It means that ...
  • You entrust subordinates with important tasks.
  • You allow subordinates to use their own methods and procedures.
  • You set clear and reasonable expectations for others and follow through on their progress.
  • You define the roles, responsibilities, required actions, and deadlines for team members.
  • You allow employees to decide how they wish to complete the tasks.

To what extent does this person exhibit Delegation?
Select from one of the ratings below.

Partnering/Networking

What does Partnering/Networking mean?
It means that ...
  • You capitalize on partnerships and networks to enhance the Company's bottom line.
  • You create the conditions for partnerships to grow and develop.
  • You seek to reduce institutional roadblocks to information sharing.
  • You support a partnering/networking culture.
  • You seek an understanding of diverse functions within the Company.

To what extent does this person exhibit Partnering/Networking?
Select from one of the ratings below.

Adaptability

What does Adaptability mean?
It means that ...
  • You learn from personal experiences and/or mistakes.
  • You handle changes easily.
  • You are able to adjust to the new vision and mission of the company.
  • You are flexible and open minded in dealing with others.
  • You can adjust plans and procedures.

To what extent does this person exhibit Adaptability?
Select from one of the ratings below.
Strengths


Areas for Development


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