360-Degree Feedback: Performance Management Solution

360-Degree Feedback
Questionnaire

This multi-source feedback instrument
was designed for XYZ Corporation
by Human Resources Consulting

You are assessing:
Terry Smith
Supervisor


	This questionnaire was designed especially for XYZ Corporation to provide Terry Smith with 360-degree feedback. Its purpose, in the context of a changing work world, is to assist Terry in developing his capabilities fully. In order to provide Terry with the broadest possible perspective, feedback is being requested from a range of people. You have been selected because you are familiar with how he works. Please be frank In order to be most helpful to Terry, please answer the questions that follow in a completely candid manner, without being unduly critical or uncritical. Your individual reply is confidential People sometimes wonder whether their reply will be seen by the person who is being assessed, or by other people in the organization. In fact, all replies are held in strictest confidence. Your answers will be averaged with those of others into a report which provides a comprehensive but anonymous picture of how Terry is seen in the workplace.


	How to Respond This questionnaire allows you to provide two types of feedback: Replying to Numerical Questions Please indicate the extent to which you agree or disagree that the statements below apply to Terry Smith Your choice of responses ranges from "1" (which means that you strongly disagree) to "10" (which means that you strongly agree). Please select any of the numbers from 1 to 10, so as to provide a fine-tuned response to each statement. Simply click on the circle which corresponds with your selection. Providing Comments At the end of each section, you will find space for unstructured comments. Please consider these guidelines to make your comments most helpful: What do you appreciate about Terry's work style? What are the key challenges you believe he should focus on? What suggestions do you have about how he should do so?

Numerical Questions about Terry Smith

BUSINESS SKILLS AND EXPERIENCE

1. Understands the business requirements and financial policies of the Organization

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

2. Formulates strategic goals and objectives

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

3. Is pro-active, responding to opportunities, solving problems, planning for action

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

4. Makes wise tactical decisions and sticks with them

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

5. Your comments regarding: Business Skills and Experience

PROFESSIONAL AND TECHNICAL SKILLS

6. Stays on top of developments in her/his field

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

7. Pursues innovative opportunities to provide new services

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

8. Anticipates problems and effectively plans solutions

Not Enough Info	Strongly Disagree		Disagree			Agree			Strongly Agree
N	1	2	3	4	5	6	7	8	9	10

9. Your comments regarding: Professional and Technical Skills

Questionnaire Conclusion

The section you have just completed may not convey everything you would like to say about Terry Smith. The comments section below allows you to add supplementary information you wish to express. Your contribution is valuable.

Consider these guidelines:
Please think about Terry Smith's overall contribution to the workplace. Add any suggestions that would help him maintain his strengths and improve his skills.

Thank you for taking the time to complete this questionnaire, which will provide Terry Smith with valuable assistance.

Please click below now to send your response to Panoramic Feedback, which has committed to guarding its confidentiality.

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