Goals - 360 Degree Feedback Survey Sample #10

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.

Goals

• Achieves goals.
• Sets high expectations and goals; encourages others to support the organization.
• Establishes and documents goals and objectives.
• Goal Setting
• Conducts timely follow-up; keeps others informed on a need to know basis.

If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?

Self Management

• Consciously controls own negative emotions in order to keep team morale up.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Does not allow own emotions to interfere with the performance of others.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.

If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Administrative Skill

• High attention to detail.
• Able to develop, justify and present a budget.
• Takes responsibility for decisions.
• Has strong technical/computer skills.
• Completes reports on-time.

If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Trustworthy

• Communicates an understanding of the other person's interests, needs and concerns.
• Consistently keeps commitments.
• Builds and maintains the trust of others.
• Is trustworthy; is someone I can trust.
• Takes care to maintain confidential information.

If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

Strategic Insight

• Inspires employees to adopt the strategic plan.
• Meets with customers to gain insight into their core needs and how best to serve them.
• Creates a mission statement describing the purpose for the organization.
• Maintains knowledge of current trends in the industry.
• Lets employees know how their roles contribute toward the achievement of strategic company objectives.

If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?

Overall, please rate the effectiveness of [Participant Name Here].

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.