Goals - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Goals	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Understands & contributes to development of strategic goals.
Goal Setting
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that I have a clear idea of our group's goals.
If were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Systematically works to improve the organization
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Completes work to a high technical standard
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Interpersonal Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Comes across as credible, knowledgeable and sincere
Provides constructive feedback in a way that fosters acceptance and development.
Uses tact, compassion, and sensitivity in interactions with others.
Adapts management style to meet the needs of the individual or situation.
Values the opinions of others.
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?
Developing Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Tries to ensure employees are ready to move to the next level.
Supports the successes of other employees.
Creates opportunities for professional development.
Provides constructive feedback to others.
Creates a work environment that fosters positive feedback to employees.
If were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?
Entrepreneurship	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Excellent at managing relationships with stakeholders.
Able to adapt the department to changing business demands and climate.
Exhibits determination and passion in completion of goals.
Encourages dynamic growth opportunities.
Has a strategic awareness on how to promote the organization.
If were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Flexible and open to new ideas and encourages others to value change.
Able to work effectively with new people and new teams.
Able to quickly learn new ways of performing their job.
Recognizes and implements changes to enhance efficiency and effectiveness.
If were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Drives and mobilizes others progress toward goals.
Displays high energy and enthusiasm on consistent basis.
Works quickly when faced with difficult problems.
Effectively makes decisions
Does whatever it takes (within reason) to get the job done.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
Grasps new ideas, concepts, technical, or business knowledge.
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
If were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Takes ownership and accountability for results
Effectively leads others.
Highly effective supervisor.
Acts decisively in implementing decisions.
Gives direct, constructive, and actionable feedback.
If were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks for additional information when making critical decisions.
Is able to make decisions quickly.
Exercises good judgment by making sound and informed decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.