Achievement - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing 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.

Achievement	Definite Strength	Meets Standards	Needs Development	N/A
Systematically works to improve the organization
Takes calculated risks.
Completes work to given time frame and to budget
Sets challenging goals for the department.
Eliminates bureaucratic barriers to streamline processes.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Asks follow-up questions as needed.
Communications with department leadership
Communicates effectively with all levels of the organization.
Addresses issues of key importance to stakeholders.
Deals with difficult situations calmly and confidently.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Adapts to new organizational structures, policies, or procedures.
Able to adapt to new situations.
Works effectively during periods of change.
Encourages others to adopt new procedures.
Open to the perspectives/viewpoints of others.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Completes work on time
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Completes a large volume of work.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to control their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
Has strong technical/computer skills.
Able to develop, justify and present a budget.
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Accurately implements contract provisions.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Prioritizes tasks to identify immediate and long-term objectives.
Uses agendas when chairing or facilitating meetings.
Keeps and maintains a To-Do list.
Prioritizes new tasks according to their relative importance.
Does not become flustered by deadlines and timelines.
Responsible	Definite Strength	Meets Standards	Needs Development	N/A
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Sets high personal standards of performance.
Sets a good example.
Sets a good example
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Able to adapt to changing situations.
Actively listens to conversations to be able to recall important details later.
Influences others through rational argument and persuasion.
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Understands the expectations of other parties in the negotiation.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Able to deal with sensitive issues with tact and professionalism.
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Gets things done through the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.