Achievement - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Achievement

What does Achievement mean?
It means that ...

• You set challenging goals for the department.
• You help others to improve or meet standards of performance.
• You set ambitious standards of performance.
• You systematically work to improve the organization
• You strive to exceed standards of performance.

To what extent does this person exhibit Achievement?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Goals

What does Goals mean?
It means that ...

• You make sure that team members have a clear idea of our group's goals.
• You understand and contribute to development of strategic goals.
• You achieve established goals.
• You establish and document goals and objectives.
• You set challenging stretch goals

To what extent does this person exhibit Goals?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Creativity

What does Creativity mean?
It means that ...

• You inspire creativity in your team.
• You add value to the department/organization.
• You are creative and inspirational.
• You conceive, implement and evaluate ideas.
• You create a lot of new ideas.

To what extent does this person exhibit Creativity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Supervisory Skills

What does Supervisory Skills mean?
It means that ...

• I ask employees for their ideas and opinions.
• I conduct regular performance management sessions.
• You facilitate open communication between employees.
• I am effective in resolving conflicts to mutual satisfaction of the parties.
• You provide direction and coaching to employees.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Global Perspective

What does Global Perspective mean?
It means that ...

• You build working relationships with others across cultures.
• You are able to work with others from different cultures and countries.
• You analyze global issues/problems that are having a large impact on the Company.
• You can effectively deliver presentations to international clients.
• You work well with others from different cultural backgrounds.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.