Excellence - 360 Degree Feedback Survey Sample #9

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.

Excellence	Definite Strength	Meets Standards	Needs Development	N/A
Produces high quality work.
Can be counted on to add value wherever they are involved.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Acts like an owner when they make decisions.
Documents performance goals through an individual development plan.
Requires employees to submit monthly reports of the work they performed.
Accepts the consequences for their actions.
Fully embraces the responsibilities that contribute to our departmental success.
Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Clearly defines duties and tasks to be completed.
Sets clear and reasonable expectations for others and follows through on their progress.
Tells subordinates what to do, not how to do it.
Defines goals and objectives for subordinates.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
Implements data validation techniques and methods.
Analyzes data and information from several sources and arrives at logical conclusions.
Asks the "right" questions to size up or evaluate situations.
Balances risks and costs with the rewards and probabilities of success when decisions.
Prioritizes various actions to be taken when solving a problem.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Goal Setting
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
Willingly shares information and expertise; sought out as resource by others
Willingly shares his/her technical expertise; sought out as resource by others
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Knows how to produce high quality products/work.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Builds and maintains the trust of others.
Consistently keeps commitments.
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Understands how to strategically grow the business and increase customers.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Works with others to develop insights into the resources and actions required to produce desired results.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Identifies potential problems before they become critical incidents.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    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 [Participant Name Here]'s assessment.