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
Successfully launched the ABC project.
Eliminates bureaucratic barriers to streamline processes.
Highly motivated to achieve or exceed performance standards.
Met required benchmarks for the position.
Takes calculated risks to achieve difficult goals.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Makes eye contact with the person they are speaking with.
Responds to questions with accurate and complete answers
Listens effectively and responds to new information.
Conducts regular performance feedback discussions with individuals and teams
Delivers messages with energy, enthusiasm, and conviction.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Is flexible in considering different viewpoints.
Allows for flexibility in the agenda for the team meeting.
Focuses on continuous improvement strategies.
Seeks opportunities to improve processes and procedures to benefit the department.
Values and adjusts training to meet diverse learning preferences.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Conveys a sense of urgency about addressing problems and opportunities
Seeks and utilizes opportunities for continuous learning and self-development.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Is able to manage their own emotions.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
Strong organizational skills to keep the workspace and department in order
Completes reports on-time.
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
Implements and uses performance measures.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Starts projects without delay.
Initially focuses on high priority items.
Frequently arrives early to start the day.
Ranks tasks based on importance to maximize available time.
Processes items in the inbox instead of letting them accumulate.
Responsible	Definite Strength	Meets Standards	Needs Development	N/A
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Sets a good example.
Sets high personal standards of performance.
Sets a good example
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Knows where to stand firm and where to compromise.
Thoroughly understands the interests and possibilities of both sides.
Conducts necessary preparations before engaging in negotiations.
Collects information from various stakeholders, each with their own viewpoints, data, and interests.
Able to express themselves in a clear, convincing, and logical manner.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Able to deal with sensitive issues with tact and professionalism.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Gets things done through the department.

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.