360 Degree Feedback Form - Example 3

Rater: [Your Name]
You are providing feedback to: [Participant Name]

Instructions

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of our company's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

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



Method of use: As part of the annual appraisal process, leaders receive feedback from peers, subordinates, customers and supervisors. 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 individual's annual appraisal and development plan.

Performance Rating Guide: Role model. Results consistently exceed expectations. Makes significant contributions well beyond requirements. Outpaces the majority of peers. Capable and Effective. Results are fully and consistently on target. Makes a valuable contribution. Is fully competent. This level describes performance of the majority of employees. Average. Results are usually on target. Would benefit from development. Results are usually on target. May need occasional support. Still learning how to perform responsibilities independently. Needs significant development. Improvement clearly needed. Is inconsistent in performance and requires continual supervision and support. An action plan for improvement in this area needed.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Vision	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Provides vision and strategies to the team.
Builds a strategic vision by analyzing the company's current position and the market environment, identifying strengths, weaknesses, opportunities, and threats.
Understands the vision of the Company and promotes it ahead of any self-interests.
Develops strategies that align with the organization's collective vision.
Identifies problems and crafts solutions.
Results Oriented	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Is a high achiever.
Has a work ethic with a strong desire to obtain results.
Achieves performance benchmarks.
Strives to achieve high volume of output.
Holds others accountable for producing high quality work.
Continual Learning	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Shares best practices with others and learns from others.
Improves on their skill sets.
Sets relevant learning objectives and goals.
Pursues self-improvement through continual learning.
Participates in regular training offered.
Developing Others	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Assesses employees' developmental needs.
Is open to receiving feedback.
Tries to ensure employees are ready to move to the next level.
Assigns tasks and responsibilities to develop skills of others.
Sets performance objectives for subordinates that encourages development opportunities.
Teamwork	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Actively and openly participates in team meetings.
Emphasizes the importance of getting individuals to work as a team
Considers the impact and implications of decisions on the team.
Provides assistance and support to other team members when needed
Asks other team members to share their opinions.
Bias for Action	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Conveys a sense of urgency about addressing problems and opportunities
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Completes a large volume of work.
Identifies ways to simplify work processes and reduce cycle times
Customer Focus	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Creates new and innovative products for customers.
Documents customer interactions.
Satisfies customer needs.
Has excellent communication with customers.
Maintains strong relationships with customers.
Business Acumen	Needs significant development	Would benefit from development	Average	Capable and effective	Role model
Thoroughly understands the business needs of the customer.
Applies the knowledge of work processes to influence the achievement of business goals
Anticipates customer's business needs.
Has a good understanding of liabilities and assets.
Shares information on best practices to facilitate business workflows and operations during times of transition and changes in personnel.

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



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

When you are done, click the button below.