360 Degree Feedback Survey Sample (#8)

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

Instructions

You have been asked to evaluate as part of a 360-degree developmental evaluation process. Other employees will also provide with feedback. In this manner, they will be provided with a comprehensive, multi-perspective view of their performance. The end goal is to provide them with feedback so as to allow them to improve their performance, resulting in improved team performance, and organizational effectiveness.

Please provide feedback using the form below. If you are not able to respond to an item, select "Not Applicable" or leave it blank and go on to the next item. When you have finished, press the SAVE or COMPLETED button at the bottom of the form.

Note: When you enter text comments into the boxes below, please focus your comments on work behaviors and styles. The comments that you type will be viewed by the individual receiving the feedback. Do not enter personal information about yourself unless you want this individual to know you are the author of these comments.

To what extent does [Participant Name] exhibit the following ...

Business Acumen	Not Applicable	Never demonstrates this skill	Seldom demonstrates this skill	Sometimes demonstrates this skill	Usually demonstrates this skill	Always demonstrates this skill
Goal-directed, persistent, driven to achieve objectives (sets direction)
Identifies and pursues resources needed to improve performance (allocate resources)
Understands and applies ethical business and financial principles
Accurately evaluates the implications of new information or events
Views problems from a business perspective, opportunity, investment, risks and anticipated results
Effects outcomes that set high standards for others
You can determine the items for each competency. Problem Solving & Decision Making	Not Applicable	Never demonstrates this skill	Seldom demonstrates this skill	Sometimes demonstrates this skill	Usually demonstrates this skill	Always demonstrates this skill
Works until the problem is solved
Develops creative solutions
Influences others in a way that results in acceptance, agreement or behavior change
Demonstrates decisiveness, doesn't procrastinate on decisions
Gets to the heart of a problem
Strengthens relationships through understanding and empathy
Competencies and items can vary by job group and level. Group Leadership	Not Applicable	Never demonstrates this skill	Seldom demonstrates this skill	Sometimes demonstrates this skill	Usually demonstrates this skill	Always demonstrates this skill
Delegates effectively
Encourages collaboration to achieve results (doesn�t allow non-team players to stay on the team)
Inspires others by recognizing and rewarding people for their work
Motivates and drives change in performance through coaching
Creates and sustains an organizational culture which encourages others to provide quality service
Instills accountability within his/her team (addresses inefficiencies)
Self-Management	Not Applicable	Never demonstrates this skill	Seldom demonstrates this skill	Sometimes demonstrates this skill	Usually demonstrates this skill	Always demonstrates this skill
Effectively juggles handling multiple, often conflicting priorities/deadlines
Demonstrates ownership for own choices, actions, non actions, successes and failures
Shows mastery of job function, excels at his/her duties
Responds to workplace changes with flexibility and optimism
Receives both positive and negative feedback well
Assumes responsibility for self-development
You can specify which competencies are shown for which participants. Professional Presence	Not Applicable	Never demonstrates this skill	Seldom demonstrates this skill	Sometimes demonstrates this skill	Usually demonstrates this skill	Always demonstrates this skill
Develops a reputation as a "go-to" resource sought out by others
Gains commitment by persuading, not by demanding
Commands the attention of an audience of one or many
Remains focused on guiding others towards most important objectives (ensure execution)
Creates a professional image that establishes and maintains credibility
Establishes influential contacts both inside and outside the company
Communication	Not Applicable	Never demonstrates this skill	Seldom demonstrates this skill	Sometimes demonstrates this skill	Usually demonstrates this skill	Always demonstrates this skill
Creates and sells (verbally) a shared vision of values and goals (speaks to inconsistencies)
Negotiates to achieve win/win outcomes in dealings with others
Practices timely, proactive communication
Communicates and promotes ideas persuasively
Shapes the ideas of others and is capable of overcoming resistance
Demonstrates active listening by accurately receiving the intended message

Strengths:


Opportunities for Development