Goals - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Goals

What does Goals mean?
It means that ...

• You set high expectations and goals; encourages others to support the organization.
• You make sure that I have a clear idea of our group's goals.
• You conduct timely follow-up; keeps others informed on a need to know basis.
• You make sure that team members have a clear idea of our group's goals.
• You achieve goals.

To what extent does this person exhibit Goals?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Excellence

What does Excellence mean?
It means that ...

• You produce high quality work.
• You take a lot of pride in your work.
• You demonstrate the functional or technical skills necessary to do your job.
• You can be counted on to add value wherever you are involved.
• You are planful and organized.

To what extent does this person exhibit Excellence?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Project Management

What does Project Management mean?
It means that ...

• You respond quickly and appropriately to unforeseen problems.
• You regularly review project performance and goals.
• You develop action items, workplans, timelines, and criteria for projects.
• You anticipate potential problems and institute controls and contingency plans to address them.
• You maintain costs and expenses within budget limits.

To what extent does this person exhibit Project Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strategic Focus

What does Strategic Focus mean?
It means that ...

• You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
• You communicate goals and objectives to employees.
• You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
• You look for opportunities to enhance contributions to the bottom line.
• You are able to decline a poor strategy by proposing alternate strategies.

To what extent does this person exhibit Strategic Focus?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...

• You accurately perceive the emotional reactions of others.
• You are attentive to emotional cues and interprets others' feelings correctly.
• You are able to manage your own emotions.
• You are able to control your own emotions.
• You are able to express yourself clearly.

To what extent does this person exhibit Emotional Intelligence?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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