Vision- 360 Degree Feedback Survey Sample #12





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
To what extent does [Participant Name] exhibit the following ...

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


Vision

  • Facilitates employees' adoption of the organization vision.
  • Communicates a vision of where the Company needs to be in the future.
  • Develops an inspiring and ambitious vision for the organization's future.
  • Promotes a vision that inspires individuals to take risks to achieve greater rewards.
  • Delegates the task of implementing the vision to subordinates.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Self Management

  • Uses patience and self-control in working with customers and associates.
  • Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  • Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  • Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  • Analyzes interpersonal problems instead of reacting to them.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Goals

  • Establishes and documents goals and objectives.
  • Achieves established goals.
  • Makes sure that I have a clear idea of our group's goals.
  • Makes sure that team members have a clear idea of our group's goals.
  • Sets high expectations and goals; encourages others to support the organization.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Regulatory/Compliance

  • Reviews transactions for potential misconduct.
  • Coordinates internal and external audit procedures.
  • Keeps track of changes in legislation affecting regulatory compliance.
  • Interacts with auditors and regulators on a professional basis.
  • Keeps detailed records of compliance measures.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Customer Focus

  • Does not hesitate to address customer concerns or complaints.
  • Gives feedback to the customer regularly.
  • Regularly receives positive feedback from customers.
  • Views customer satisfaction as an everyday priority.
  • Builds products that meet the unique needs of each customer.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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