Vision - 360 Degree Feedback Survey Sample #13





Questionnaires 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)
Survey 14 (4-point scale; N/A)
Instructions

You are being requested to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our performance through this leadership development program. This feedback tool has been carefully designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Vision

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Able to see trends in the business environment.
  1. Shapes the department's vision into actionable goals.
  1. Committed to undertaking the implementation of the strategic vision.
  1. Provides a detailed schedule that specifies key milestones and deadlines, guiding the organization step-by-step towards achieving its long-term goals and overall vision.
  1. Focuses subordinates' work on critical aspects of the vision.
  1. Encourages employees to embrace the departmental vision.
  1. Is a positive influence on employees, encouraging them to take the initiative and be proactive in their roles.
  1. Creates a crystal-clear vision for where the department needs to be in the next 12 months.
  1. Develops a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision.


Business Acumen

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Aware of regulations that impact our business.
  1. Interprets data to make informed business decisions.
  1. Maintains currency with laws, regulations, policies, procedures, trends, and developments.
  1. Facilitates others in the development and implementation of changes to business operations.
  1. Periodically assesses the current market environment.


Strategic Insight

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Maintains knowledge of current trends in the industry.
  1. Communicates with employees to find out their needs.
  1. Creates a vision for the organization based on insights gathered from other companies in the industry.
  1. Observes employees at work to get better insight into the issues they are dealing with.
  1. Inspires employees to adopt the strategic plan.


Attitude

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Visibly supports and encourages diversity in style and background.
  1. Builds open and trusting relationships.
  1. Contributes to a positive and fun work environment.
  1. Is gracious and professional in their interactions with others.
  1. Works to eliminate unnecessary work or barriers that get in others' way.


Technology Use/Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Maximizes the use of new technology to deliver products and services.
  1. Supports technical training and development of employees.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.


Partnering/Networking

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Networks with others in the company to better understand the workflows and operational requirements.
  1. Actively listens to understand different perspectives and identify common interests.
  1. Develops a sense of trust in subordinates so they can freely interact and share information with others.
  1. Regularly attends conferences and seminars to meet with others in the industry.
  1. Engages in collaborative problem-solving to address shared challenges.


Recognition

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Says "thank you" to show appreciation for work of others.
  1. Is sincerely interested in the suggestions of co-workers
  1. Recognizes the abilities and skills of self and others
  1. Recognizes individuals for a specific outstanding achievement.
  1. Finds opportunities to recognize others.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  3. Overall, please rate the effectiveness of [Participant Name Here].







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