Vision - 360 Degree Feedback Survey Sample #14





360 Feedback Survey

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

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

Sample Result Document:
Sample Results
You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Vision

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Develops an inspiring and ambitious vision for the organization's future.
  1. Develops a vision to empower employees to make more effective decisions.
  1. Understands the vision of the Company and promotes it ahead of any self-interests.
  1. Focuses subordinates' work on critical aspects of the vision.
  1. Designs strategies that mirror the organization's unified vision.
  1. Delegates the task of implementing the vision to subordinates.
  1. Develops a vision to inspire collective action.
  1. Skilled in developing and realizing a comprehensive organizational vision.
  1. Articulates a vision for the department that is aligned with the division/company's vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

Strategic Focus

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Undertakes a SWOT analysis to determine the best strategy to move forward.
  1. Identifies ways in which the company is better able to meet the customers' needs than rivals.
  1. Makes strategic decisions that take into account a dynamic situation.
  1. Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
  1. Recognizes the need for strategically developing unique capabilities.
  1. Maintains a strategic focus on external factors impacting the success of the company.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Provides feedback in a helpful and respectful way, focusing on improvement.
  1. Articulates ideas clearly and assertively.
  1. Communicates with department leadership
  1. Provides straightforward and brief directions.
  1. Able to deliver presentations.
  1. Keeps the supervisor informed about achievements and milestones.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Self Management

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Uses patience and self-control in working with customers and associates.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Goals

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Goal Setting
  1. Understands & contributes to development of strategic goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Establishes and documents goals and objectives.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?

Regulatory/Compliance

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Understands the applicable regulations and laws that impact our business.
  1. Develops compliance reports in accordance with federal and industry regulations.
  1. Complies with regulatory requirements for the state.
  1. Responds promptly to inquiries from regulatory bodies.
  1. Develops and implements a compliance data recordkeeping system.
  1. Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?

Customer Focus

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Makes customer's needs a top priority.
  1. Responsive to customer needs.
  1. Uses customer feedback to help improve products and services.
  1. Delivers on commitments made to customers.
  1. Manages customer accounts with high degree of competence.
  1. Addresses customer complaints immediately.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


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