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 ...
  • I create a clear and inspiring vision statement that outlines the desired future for the company.
  • You inspire employees to support the departmental vision.
  • I identify emerging trends and anticipate future market shifts.
  • You assign the responsibility of implementing the vision to the team, ensuring they have clear guidance, adequate resources, and the necessary authority.
  • I envision and articulate a clear path for the department's accelerated growth over the next year.

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 support and mentor others that may have different cultural backgrounds.
  • You accept individual differences.
  • You treat others with dignity and respect.
  • I am aware of cultural differences in business etiquette.
  • I seek to reduce obstacles in communication that might arise from cultural differences.

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 define goals and objectives for subordinates.
  • You tell subordinates what to do, not how to do it.
  • You set clear and reasonable expectations for others and follow through on their progress.
  • You assign tasks to create learning opportunities for the employees.
  • You entrust subordinates with important 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 promote a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
  • You expand network of colleagues to include others who may contribute to the department's success.
  • I engage with partners that offer complementary services and competencies.
  • I engage in continuous dialogue through regular meetings or virtual meetups.
  • I am aware of the location/availability of resources within the network.

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 are aware of changes to team personnel.
  • You perform a wide range of tasks, respond to changes in direction and priorities and accept new challenges, responsibilities, and assignments.
  • You adapt to changes in team membership.
  • You are able to adapt to changes in technology and processes.
  • You are able to adjusts tactics when things are not working as expected.

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.