Feedback - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Feedback	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Shares past experiences with others as learning opportunities.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Is visible and approachable.
Accepts the views of others.
What are your suggestions for how can make improvements in Feedback?
Leadership	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Gives direct, constructive, and actionable feedback.
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Acts decisively in implementing decisions.
Highly effective supervisor.
Effectively leads others.
What are your suggestions for how can make improvements in Leadership?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
Understanding what others need.
Has excellent influencing/negotiating skills.
Able to express own goals and needs.
What are your suggestions for how can make improvements in Persuasion and Influence?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops solutions to challenging problems.
Is creative and inspirational.
Adds value to the department/organization.
Is creative.
Creates a lot of new ideas.
What are your suggestions for how can make improvements in Creativity?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Analyzes interpersonal problems instead of reacting to them.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Does not allow own emotions to interfere with the performance of others.
What are your suggestions for how can make improvements in Self Management?
Passion To Learn	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Actively seeks to learn by asking questions and listening to all store associates.
Holds self and associates accountable for goal achievement.
Demonstrates through personal behavior the commitment to high standards of performance.
Persists until goals are achieved and commitments are met.
Constantly enhances product knowledge through experimentation and play.
What are your suggestions for how can make improvements in Passion To Learn?
Delegation	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Tells subordinates what to do, not how to do it.
Allows subordinates to use their own methods and procedures.
What are your suggestions for how can make improvements in Delegation?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Attends to the important details of a job or task.
Clarifies problems and their causes to help employees correct them.
Avoids creating ambiguity or mixed messages.
Communicates ideas and facts clearly and effectively in writing.
Avoids stating unclear or conflicting goals.
What are your suggestions for how can make improvements in Clarity?
Company	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
What are your suggestions for how can make improvements in Company?
Fiscal Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
What are your suggestions for how can make improvements in Fiscal Management?

51. Strengths
    
    
    
52. Areas for Development
    
    
    
53. Please give any final comments or suggestions for 's assessment.