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)
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

  • Aligns subordinates' work with the vision's critical priorities.
  • Promotes a vision that inspires individuals to take risks to achieve greater rewards.
  • Pinpoints specific challenges that the company faces and meticulously crafts tailored solutions to overcome these obstacles.
  • Crafts strategic plans that embody the organization's shared vision.
  • Able to formulate and implement a vision for the future of the department.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Self Management

  • Does not allow own emotions to interfere with the performance of others.
  • Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  • Consciously controls own negative emotions in order to keep team morale up.
  • Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  • Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Goals

  • Goal Setting
  • Understands & contributes to development of strategic goals.
  • Establishes and documents goals and objectives.
  • Conducts timely follow-up; keeps others informed on a need to know basis.
  • Achieves established goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Regulatory/Compliance

  • Trains and coordinates activies of compliance officers.
  • Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  • Keeps track of changes in legislation affecting regulatory compliance.
  • Creates and maintains necessary regulatory documentation.
  • Develops the appropriate incentives (or disincentives) for regulatory compliance.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Customer Focus

  • Anticipates customer needs.
  • Creates documents that meet the customer's specifications.
  • Is committed to the customer's success.
  • Is focused on improving customer services.
  • Documents customer interactions.
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.