Excellence - 360 Degree Feedback Survey Sample #5

Dear Employee:

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 Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Punctuality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conducts appointments at scheduled start time.
Avoids making personal phone calls during working hours.
Maintains an efficient schedule of activities.
Arrives to meetings on time.
Starts meetings on time.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets clearly defined goals.
Avoids distractions in the workplace.
Uses agendas when chairing or facilitating meetings.
Completes tasks ahead of schedule.
Prioritizes new tasks according to their relative importance.
Commitment To Result	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Takes immediate action toward goals.
Able to focus on a task even when working alone.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a positive vision of the future for the Company.
Develops action plans to align his/her work with the goals of the organization
Expresses the Company vision in a way that is easily understood and adopted by employees.
Clearly articulates a vision for his/her work and inspires others to support it
Creates a common vision for others.

31. Overall, please rate the effectiveness of .
    

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

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for 's assessment.