Communication - 360 Degree Feedback Survey Sample #9

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.

Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Deals with difficult situations calmly and confidently.
Able to demonstrate persuasiveness in pursuit of objectives.
Asks follow-up questions as needed.
An effective listener who is responsive to information needs.
Is an effective communicator
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Encourages others to adopt new procedures.
Willing to try new ideas.
Can handle changes without complaining.
Works effectively during periods of change.
Able to adapt to new situations.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to express themselves clearly.
Management	Definite Strength	Meets Standards	Needs Development	N/A
Delegate tasks effectively
Makes you feel enthusiastic about your work
Is ready to offer help
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
Ability to solve problems at root cause rather than at symptom level.
Effective in solving problems.
Works cooperatively with others to solve problems.
Ability to develop innovative solutions to problems.
Able to balance the needs of different people in a solution to a problem.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports new initiatives for organizational changes to improve effectiveness.
Assists others in understanding changes to the organization.
Addresses organizational and departmental resistance to changes.
Supports the Company's efforts to implement changes.
Works cooperatively with others to implement changes.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Willing to do whatever it takes-not afraid to have to put in extra effort.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Maintains persistence and dedication to achieving results.
Takes immediate action toward goals.
Encourages commitment in others to obtain results.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Understands and is committed to implementing new technologies.
Proficient in the use of technical systems and processes.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Maximizes the use of new technology to deliver products and services.
Responsible	Definite Strength	Meets Standards	Needs Development	N/A
Sets a good example.
...takes personal responsibility for results.
Holds herself / himself accountable to goals / objectives
Acts as a resource without removing individual responsibility.
Completes assigned work tasks.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Effective in communicating with others within the organization.
Able to deal with sensitive issues with tact and professionalism.
Understands departmental policies and procedures.
Gets things done through the department.
Able to explain departmental policies and procedures to others.

56. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for 's assessment.