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.
Shares past experiences with others as learning opportunities.
Considers other's opinion and suggestions.
Seeks feedback to enhance performance.
Open to the suggestions of others.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Participates in training as needed to improve job performance.
Aligns individual and team goals with the organization's goals and objectives.
Reviews monthly or weekly reports of quantitative metrics (sales/production) to measure performance level.
Measures job performance of subordinates against defined goals and objectives.
Initiates probationary actions for employees with sub-par performance.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Open to the perspectives/viewpoints of others.
Can handle changes without complaining.
Encourages others to adopt new procedures.
Willing to try new ideas.
Acts decisively in frequently changing and uncertain environment.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Completes a large volume of work.
Completes work on time
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Seeks and utilizes opportunities for continuous learning and self-development.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
Analyzes data and information from several sources and arrives at logical conclusions.
Implements data validation techniques and methods.
Analyzes issues and reduces them to their component parts.
Selects the appropriate techniques for analysis.
Uses appropriate techniques to solve problems.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Maximizes the use of new technology to deliver products and services.
Uses technology in decision making and problem solving.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Encourages employees to take on greater responsibilities.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Values the expertise that others bring to the team.
Allows employees the freedom to do tasks how they see fit, but holds them accountable for obtaining results.
Trusts employees to complete tasks assigned.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Coaches team members to work toward a common goal.
Makes decisions that positively impact team performance.
Works with other team members to identify bottle necks in the production process.
Encourages teamwork and collaboration.
Facilitates good rapport between team members.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Understands the current organizational culture.
Anticipates problems that may affect the department.
Gets things done through 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.