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360 Feedback Survey Example 2

Each survey is customized to include your company logo, instructions, and questionnaire items.


You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, direct reports and/or others will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

Communication Skills

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Communicates to employees how their jobs/ works/ goals relate to organizational goals
  1. Keeps open and regular communication with others.
  1. Delivers clear and concise instructions.
  1. Communications with department leadership
  1. Is an effective communicator
  1. Delivers difficult/sensitive messages to co-workers in an appropriate manner
Please offer suggestions on how this can be improved.

Action

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Gets the job done.
  1. Makes effective decisions, even when under pressure.
  1. Works quickly when faced with difficult problems.
  1. Motivates others to achieve or exceed goals
  1. Exhibits personal ambition and drive.
  1. Takes corrective action when necessary.
Please offer suggestions on how this can be improved.

Self Management

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Maintains control of their bearing and personal appearance.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Sets an example for others during stressful periods by maintaining a positive, can-do attitude.
  1. Able to handle unexpected events and issues.
  1. Does not act impulsively.
  1. Uses patience and self-control in working with customers and associates.
Please offer suggestions on how this can be improved.

Continual Learning

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Pursues self-improvement through continual learning.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Shares best practices with others and learns from others.
  1. Sets relevant learning objectives and goals.
  1. Builds onto their strengths.
Please offer suggestions on how this can be improved.

Professional Development

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Demonstrates enthusiasm and a willingness to learn new skills and knowledge
  1. Seeks opportunities for professional development.
  1. Allows employees to fully participate in employee training and professional development.
  1. Encourages employees to advance their education.
  1. Encourages employees to take courses relevant to their job.
Please offer suggestions on how this can be improved.

Decision Making

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Is confident in the decisions they make.
  1. Takes charge when in charge.
  1. Effectively prioritizes and organizes themselves and their workload.
  1. Make sound and timely decisions under pressure
  1. Systematically gathers, analyzes, and interprets information from a variety of sources
  1. Solicits feedback from others on the quality of his/her decision-making
Please offer suggestions on how this can be improved.

Innovation

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Implements best practice methods within [Company].
  1. Generates innovative and practical ideas and approaches.
  1. Creates innovative solutions to critical problems facing [Company].
  1. Pursues innovative approaches to the current policies and procedures.
  1. Focuses on creating new value for our products/services.
  1. Challenges assumptions about the way things work.
Please offer suggestions on how this can be improved.

Change Management

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Effective in dealing with ambiguous and challenging situations.
  1. Facilitates others in the development and implementation of changes.
  1. Adopts changes to set and example for others to follow.
  1. Addresses organizational and departmental resistance to changes.
  1. Plans and initiates effective departmental and organizational changes.
Please offer suggestions on how this can be improved.

Results Oriented

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Helps others when free-time is available.
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Sets challenging personal and organizational goals.
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Accomplishes difficult tasks obtaining measurable results.
  1. Exhibits high energy and a positive attitude on the job with others
Please offer suggestions on how this can be improved.

Developing Others

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Encourages others to accept projects or tasks that extend their abilities and present opportunities for development.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Motivates employees to participate in development programs.
  1. Makes sure that employees are aware of how they perform in their job.
  1. Recognizes and celebrates accomplishments of others.
  1. Is aware of the career development goals of subordinates.
Please offer suggestions on how this can be improved.

Coworker Development

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Coaches/mentors individuals outside of direct team for performance improvement and to help them be effective coaches for others
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Teaches Situational Leadership principles to team members
  1. Writes performance reviews based upon facts and demonstrated behaviors
  1. Provides specific, timely, meaningful feedback for Supervisor team when performance is substandard, pointing out deficiencies as they occur
Please offer suggestions on how this can be improved.

Teamwork

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Encourages collaboration with other departments.
  1. Coaches team members to work toward a common goal.
  1. Identifies and resolves conflicts within the team to increase team effectiveness
  1. Provides assistance and support to other team members when needed
  1. Seeks and listens to other's contributions
  1. Facilitates the development of team/unit work standards
  1. Recognizes and respects the contributions and needs of each individual.
  1. Fosters respect and understanding among team members
Please offer suggestions on how this can be improved.

Recognition

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Recognizes team members who offer a significant contribution to a project.
  1. Offers recognition that is proportional to the accomplishment.
  1. Compliments other people when they do good work
  1. Develops recognition events that reward and motivate others.
  1. Lets employees know when they have done well
  1. Implements formal and informal recognition practices within the department.
Please offer suggestions on how this can be improved.

Leadership

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Inspires a shared culture by keeping employees informed and working together.
  1. Inspires, encourages, and guides others toward the vision, mission, and goals.
  1. Doesn't show discouragement when facing setbacks.
  1. Runs efficient and effective meetings with agendas, action items, and accountabilities clearly spelled out
  1. Empowers others to achieve results and holds them accountable for actions.
  1. Influences the decisions made at [Company].
  1. Motivates others to reach and exceed organizational goals and objectives.
  1. Coaches others and prepares them for current and future business demands.
  1. Gives direct, constructive, and actionable feedback.
  1. Provides challenging assignments to employees.
  1. Recognizes and rewards employees for their accomplishments.
  1. Aligns manpower, designs work, an allocates tasks to achieve goals.
  1. Demonstrates effective leadership talent and skills
Please offer suggestions on how this can be improved.

Management

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Keep staff informed about what is happening in [Company].
  1. Applies disciplinary measures without favoritism.
  1. Deliver effective feedback on a regular basis
  1. Inspires, encourages, and guides others toward the vision, mission, and goals.
  1. Allocates as much time as needed for task completion.
Please offer suggestions on how this can be improved.

Managing Performance

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Obtains commitment from employees regarding completion of tasks.
  1. Measures performance against goals and objectives.
  1. Sets specific and measurable goals for others and follows through to completion.
  1. Prioritizes the work of others.
  1. Is consistent in disciplinary/corrective actions.
  1. Uses timely and appropriate corrective/disciplinary actions.
Please offer suggestions on how this can be improved.

Performance

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Effective in performing his/her job.
  1. Encourages others to increase their job performance.
  1. Meets regularly to discuss job performance.
  1. Uses relevant facts to measure & track progress toward achievement of individual & team goals
  1. Sets high goals and strives to meet them.
  1. Displays organizational savvy; knows who to contact in order to get things done.
Please offer suggestions on how this can be improved.

Vision

 Needs
Significant
Improvement		 Could
Benefit from
Development		 Capable
and
Effective		 Role
Model
  1. Understands the vision of [Company] and promotes it ahead of any self-interests.
  1. Communicates a vision of where [Company] needs to be in the future.
  1. Motivates employees to do things in a new way.
  1. Creates a positive vision of the future for [Company].
  1. Persuades others to follow [Company]'s vision.
  1. Demonstrates consistency between words and actions
Please offer suggestions on how this can be improved.



  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, how would you rate performance and why?

  4. Other Comments:

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