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.

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.

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 analyze data and industry patterns to forecast opportunities and challenges.
  • You can establish an inspiring and strategic vision for the department.
  • You create a vision that adds value to the organization.
  • You communicate a vision of where the Company needs to be in the future.
  • You craft strategic plans that embody the organization's shared vision.

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 seek out different viewpoints and benefits from different perspectives.
  • I am aware of cultural differences in business etiquette.
  • I am an advocate for others with different cultural backgrounds.
  • You foster a diverse workforce free from discrimination and harassment.
  • You value the opinions of diverse groups and individual.

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 allow subordinates to use their own methods and procedures.
  • You tell subordinates what to do, not how to do it.
  • You delegate authority and responsibility to subordinates and holds them accountable for your actions.
  • You clearly define duties and tasks to be completed.
  • 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 align efforts, processes, and resources with partners to maximize strategic opportunities.
  • I contact possible partners to seek new opportunities.
  • You develop a sense of trust in subordinates so they can freely interact and share information with others.
  • You communicate with others in an open manner.
  • I synchronize efforts, processes, and resources with partners to enhance strategic opportunities.

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 adapt to diversity within the team.
  • You handle changes easily.
  • You are aware of changes to the policies and procedures.
  • You are able to adjusts tactics when things are not working as expected.
  • You are able to step in and help co-workers when needed.

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.