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
Helps others to improve or meet standards of performance.
Strives to meet goals and objectives.
Takes calculated risks to achieve significant rewards.
Is determined to complete tasks regardless of obstacles that may occur.
Rapidly completes tasks and assignments.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Gives clear and convincing presentations.
Delivers influential presentations.
Able to deliver presentations.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Encourages others to adopt new procedures.
Identifies new opportunities to achieve goals
Willing to try new ideas.
Can handle changes without complaining.
Acts decisively in frequently changing and uncertain environment.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Displays high energy and enthusiasm on consistent basis.
Completes a large volume of work.
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
Takes responsibility for decisions.
High attention to detail.
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
Accurately implements contract provisions.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Stops doing things that have suddenly become unnecessary or irrelevant.
Excellent at keeping track of time.
Prioritizes new tasks according to their relative importance.
Performs high-impact work first.
Keeps and maintains a To-Do list.
Responsible	Definite Strength	Meets Standards	Needs Development	N/A
Behavior is ethical and honest.
Sets high personal standards of performance.
...takes personal responsibility for results.
Sets a good example
Sets a good example.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Actively listens to conversations to be able to recall important details later.
Maintains good interpersonal relationships with representatives from the other party.
Able to control their emotional responses and correctly gauge the emotions of others.
Able to clearly express thoughts and concerns.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Able to use corporate politics to advance department objectives.
Gets things done through the department.
Anticipates problems that may affect the department.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.

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.