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
Actively seeks feedback from others.
Shares past experiences with others as learning opportunities.
Looks to others for input.
Is visible and approachable.
Considers other's opinion and suggestions.
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.
Is able to express themselves clearly.
Is able to control their own emotions.
Is able to manage their own emotions.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Uses timely and appropriate corrective/disciplinary actions.
Increases responsibilities for high performing individuals.
Recognizes people who provide outstanding leadership in planning, organizing.
Routinely holds audits of performance on a weekly or monthly basis.
Is proactive in administering the rewards program.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
Is flexible in responding to customer needs.
Adapts to different learning styles of employees as required to make sure employees receive the highest level of training.
Is able to make accommodations needed for changes to the working conditions.
Values and adjusts training to meet diverse learning preferences.
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.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
Identifies opportunities for progress and innovation.
Identifies the root cause of a problem.
Implements data validation techniques and methods.
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.
Goal Setting
Makes sure that I have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Adopts the implementation of new technology into the workplace.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Gives employees autonomy to complete tasks on their own.
Encourages employees to take on greater responsibilities.
Allows subordinates to perform mission critical tasks.
Provides support and resources needed to accomplish goals.
Recognizes that employees may need flexibility in their working hours.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Facilitates effective decision-making practices to further develop the team.
Willingly share their technical expertise
Creates a climate that encourages team participation.
Makes sure each team member participates in the task.
Actively participates as a team member
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Able to use corporate politics to advance department objectives.
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.

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.