Achievement - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Achievement	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Accepts setbacks and challenges as improvement opportunities
Completes work to given time frame and to budget
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Set high standards in their performance
What are your suggestions for how can make improvements in Achievement?
Performance	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
...Overall Performance
Able to organize work.
Effective in performing his/her job.
Shown significant improvement in job performance.
Listens and responds to issues and problems
What are your suggestions for how can make improvements in Performance?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates ideas and facts clearly and effectively in writing.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Avoids stating unclear or conflicting goals.
Clarifies problems and their causes to help employees correct them.
Avoids creating ambiguity or mixed messages.
What are your suggestions for how can make improvements in Clarity?
Client Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is pro-active in dealing with clients and addressing their needs.
Satisfies client needs.
Obtains feedback to ensure client needs are being met.
Maintains strong relationships with clients.
Ensures client commitments and requirements are met or exceeded
What are your suggestions for how can make improvements in Client Focus?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates effectively with others.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
What are your suggestions for how can make improvements in Persuasion and Influence?
Co-worker Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
What are your suggestions for how can make improvements in Co-worker Development?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Is creative.
Creates a lot of new ideas.
What are your suggestions for how can make improvements in Creativity?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Uses patience and self-control in working with customers and associates.
Analyzes interpersonal problems instead of reacting to them.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
What are your suggestions for how can make improvements in Self Management?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes ownership and accountability for results
Demonstrates leadership and courage in critical situations.
Gives direct, constructive, and actionable feedback.
Acts decisively in implementing decisions.
Able to influence others.
What are your suggestions for how can make improvements in Leadership?
Company	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
What are your suggestions for how can make improvements in Company?
Fiscal Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.
Monitors spending.
Monitors expenses and verifies the need for items purchased.
What are your suggestions for how can make improvements in Fiscal Management?

55. Strengths
    
    
    
56. Areas for Development
    
    
    
57. Please give any final comments or suggestions for 's assessment.