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
Looks to others for input.
Actively seeks feedback from others.
Is visible and approachable.
Open to the suggestions of others.
Considers other's opinion and suggestions.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to express themselves clearly.
Able to understand others' points of view.
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Adjusts performance goals as needed to meet the demands of the department/organization.
Sets specific and measurable goals for others and follows through to completion.
Uses timely and appropriate corrective/disciplinary actions.
Plans and sets work expectations.
Prioritizes the work of others.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Works effectively during periods of change.
Encourages others to adopt new procedures.
Can handle changes without complaining.
Identifies new opportunities to achieve goals
Is open to alternative ways to accomplish goals
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Encourages risk taking and experimentation to improve performance
Displays high energy and enthusiasm on consistent basis.
Seeks and utilizes opportunities for continuous learning and self-development.
Identifies ways to simplify work processes and reduce cycle times
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
Analyzes data and information from several sources and arrives at logical conclusions.
Prioritizes various actions to be taken when solving a problem.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Uses appropriate techniques to solve problems.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Achieves goals.
Makes sure that team members have a clear idea of our group's goals.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Establishes and documents goals and objectives.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Maximizes the use of new technology to deliver products and services.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Allows individuals to be responsible for their decisions.
Avoids micromanaging their employees.
Allows employees to make their own decisions.
Ensures employees understand what is being assigned to them.
Is aware of the skill levels of others.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Identifies and resolves conflicts within the team to increase team effectiveness
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Fosters respect and understanding among team members
Encourages open communication
Recognizes and respects the contributions and needs of each individual.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
Understands departmental policies and procedures.
Able to explain departmental policies and procedures to others.
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.