Feedback - 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.

Feedback	Definite Strength	Meets Standards	Needs Development	N/A
Accepts the views of others.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Actively seeks feedback from others.
Is visible and approachable.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to express themselves clearly.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Assesses employee performance against defined standards.
Establishes indicators to measure levels of performance.
Creates clear standards that are understandable and fair.
Addresses poor performance sooner rather than later.
Sets and maintains high standards for self and others.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Adapts to circumstances as needed.
Implements changes as a result of having listened to employees
Encourages others to adopt new procedures.
Able to adapt to new situations.
Willing to try new ideas.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
Identifies problems and issues needing resolution.
Selects the appropriate techniques for analysis.
Analyzes issues and reduces them to their component parts.
Prioritizes various actions to be taken when solving a problem.
Asks the "right" questions to size up or evaluate situations.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Achieves established goals.
Makes sure that I have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Proficient in the use of technical systems and processes.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Lets employees make their own decisions.
Gives employees autonomy to complete tasks on their own.
Allows individuals to be responsible for their decisions.
Avoids micromanaging their employees.
Assigns tasks that are within the skill levels of employees.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Communicates a clear message that teamwork and collaboration are expected.
Encourages teamwork and collaboration.
Comes across as a reliable, committed team member
Coaches team members to work toward a common goal.
Shares credit for accomplishments with team members
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Adept at navigating within the culture of the department.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
Able to use corporate politics to advance department objectives.
Understands the current organizational culture.

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.