Establishing Focus/Direction - 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.

Establishing Focus/Direction

• Helps guide employees with prioritizing tasks.
• Stays focused even when under pressure and stress.
• Functions well under stress, deadlines, and/or significant workloads.
• Excellent at managing time.
• Makes sure that employees understand and identify with the team's mission.

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

Comments:

Self Management

• Does not allow own emotions to interfere with the performance of others.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Steps away from a situation to process appropriate response.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.

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

Comments:

Results Oriented

• Is a high achiever.
• Views obstacles as opportunities to improve self.
• Works toward achievement of goals even when confronted with obstacles.
• Willing to take on new assignments to help increase production.
• Strives to exceed performance benchmarks.

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

Comments:

Interpersonal Skills

• Demonstrates positive behaviors for others to follow.
• Considers the other individual's point of view.
• Expresses appreciation of other's work.
• Attends to both the content and the context of what was being said.
• Shows appreciation for other's work.

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

Comments:

Responsible

• Sets a good example
• Acts as a resource without removing individual responsibility.
• ...takes personal responsibility for results.
• Responsible for setting the vision of the department.
• 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.