Commitment to Result - 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.

Commitment To Result

What does Commitment To Result mean?
It means that ...

• You are able to focus on a task even when working alone.
• You encourage commitment in others to obtain results.
• You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• You coordinate all department activities into a cohesive team effort.
• You are willing to do whatever it takes-not afraid to have to put in extra effort.

To what extent does this person exhibit Commitment To Result?
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 provide feedback that is aligned with performance expectations.
• You foster a positive work environment in the department.
• I contribute to a productive work environment for the team.
• You facilitate team members working well together.
• I know the best ways to communicate effectively with different types of 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

Quality

What does Quality mean?
It means that ...

• You analyze what occurred and re-adjusts accordingly when goals are not met.
• You encourage employees to produce the best quality products.
• You encourage others to produce the highest quality work products.
• You always strive to produce the highest quality work products.
• You reflect on what is working and what could be improved.

To what extent does this person exhibit Quality?
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

Company

What does Company mean?
It means that ...

• You understand how decisions impact other business units beyond your immediate department of work group.
• You understand the use of [Company] products and services.
• You follow existing procedures and processes.
• You attend [Company] gatherings and social events.
• You understand the "basics" as to how [Company] functions/operates.

To what extent does this person exhibit Company?
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

Self Management

What does Self Management mean?
It means that ...

• You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• You use patience and self-control in working with customers and associates.
• You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
• You do not allow own emotions to interfere with the performance of others.
• You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.

To what extent does this person exhibit Self Management?
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.