Establishing Focus/Direction - 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.

Establishing Focus/Direction

• Maintains focus when handling several problems or tasks simultaneously.
• Stays focused even when under pressure and stress.
• Makes sure that employees understand and identify with the team's mission.
• Functions well under stress, deadlines, and/or significant workloads.
• Excellent at managing time.

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

Comments:

Self Management

• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Steps away from a situation to process appropriate response.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• Consciously controls own negative emotions in order to keep team morale up.
• Analyzes interpersonal problems instead of reacting to them.

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

Comments:

Results Oriented

• Demonstrates the personal confidence to "stay the course," even when faced with difficulty
• Explains the "whys" behind organizational objectives
• Inspires and motivates co-workers to be productive and energetic at work
• Provides clear expectations for employees.
• Does not become distracted by non-issues or interruptions.

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

Comments:

Interpersonal Skills

• Effectively manages conflicts by dealing with them directly and immediately
• Uses knowledge and charisma rather than position, power, or coercion to influence others
• Applies appropriate communication techniques to the situation.
• Demonstrates willingness to work with others.
• Builds a strong rapport with co-workers.

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

Comments:

Responsible

• Sets high personal standards of performance.
• Completes assigned work tasks.
• Responsible for setting the vision of the department.
• Works in a way that makes others want to work with her/him.
• Sets a good example

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.