Commitment to Result - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Commitment To Result

• Willing to do whatever it takes-not afraid to have to put in extra effort.
• Able to focus on a task even when working alone.
• Creates a sense of urgency among the store team members to complete activities, which drive sales.
• Committed to the team.
• Encourages commitment in others to obtain results.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Business Acumen

• Implements long-term strategic solutions to critical problems.
• Understands impacts of domestic & global market events & issues.
• Considers impact of actions on other areas of the organization.
• Is adept at recognizing new opportunities and fostering a culture of innovation ensuring the organization stays ahead of industry trends and continues to evolve.
• Establishes clear, long-term objectives that align with the company's vision and mission.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Goals

• Establishes and documents goals and objectives.
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Achieves established goals.
• Makes sure that team members have a clear idea of our group's goals.
• Understands & contributes to development of strategic goals.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Passion To Learn

• Enhances value to the company through additional training and development.
• Is open minded and curious about learning new skills.
• Creates an environment that supports personal development and exploration.
• Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
• Exhibits willingness to upgrade skills through additional training and education.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Empowering Others

• Is confident in the abilities of employees assigned important tasks.
• Recognizes the contributions that others make to the department.
• Recognizes that employees may need flexibility in their working hours.
• Allows employees the opportunity to take time off when needed.
• Assigns important tasks to subordinates.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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