Goals - 360 Degree Feedback Survey Sample #9

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.

Goals	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure that I have a clear idea of our group's goals.
Achieves established goals.
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Goal Setting
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Does not become flustered by deadlines and timelines.
Uses agendas when chairing or facilitating meetings.
Sets a good balance between work and family life.
Completes tasks ahead of schedule.
Avoids distractions in the workplace.
Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
Understands the applicable regulations and laws that impact our business.
Follows all safety regulations and procedures.
Maintains a state of readiness to address new and changing regulations and procedures.
Ensures regulations are followed as required.
Addresses issues quickly before they develop into major problems.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Communications with department leadership
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Communicates effectively with colleagues and customers
An effective listener who is responsive to information needs.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Adapts to circumstances as needed.
Open to the perspectives/viewpoints of others.
Implements changes as a result of having listened to employees
Adapts to new organizational structures, policies, or procedures.
Willing to try new ideas.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Seeks and utilizes opportunities for continuous learning and self-development.
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).
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Recognizes and values good performance.
Measures performance against goals and objectives.
Sets specific and measurable goals for others and follows through to completion.
Reviews job performance shortly after completion of tasks.
Is consistent in disciplinary/corrective actions.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
High attention to detail.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Takes responsibility for decisions.
Completes reports on-time.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Is open to receiving feedback.
Provides constructive feedback to others.
Supports the successes of other employees.
Creates opportunities for professional development.
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
Understands the current organizational culture.
Understands departmental policies and procedures.
Anticipates problems that may affect the department.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.

51. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for 's assessment.