Commitment to Result - 360 Degree Feedback Survey Sample #12

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

• Able to focus on a task even when working alone.
• Coordinates all department activities into a cohesive team effort.
• Willing to do whatever it takes-not afraid to have to put in extra effort.
• Takes immediate action toward goals.
• Creates a sense of urgency among the store team members to complete activities, which drive sales.

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

Comments:

Business Acumen

• Has a good understanding of liabilities and assets.
• Exhibits behavior that is consistent with the vision, mission, and core values of the organization
• Knows how to use financial information to make an impact on the organization.
• Interprets data to make informed business decisions.
• Recognizes trends in underlying data.

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

Comments:

Goals

• Conducts timely follow-up; keeps others informed on a need to know basis.
• Goal Setting
• Makes sure that team members have a clear idea of our group's goals.
• Makes sure that I have a clear idea of our group's goals.
• Achieves goals.

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

Comments:

Passion To Learn

• Constantly enhances product knowledge through experimentation and play.
• Enhances value to the company through additional training and development.
• Inspires others to learn new things.
• Is open minded and curious about learning new skills.
• Is committed to enhancing their own knowledge and skills.

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

Comments:

Empowering Others

• Provides support and resources needed to accomplish goals.
• Expresses confidence in the abilities of others.
• Gives employees the opportunity to make their own decisions at work.
• Set clear goals for assignments.
• Lets employees complete tasks according to their methods.

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.