Goals - 360 Degree Feedback Survey Sample #12





360 Feedback Survey

Questionnaires Measuring Goals:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
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

  • Makes sure that team members have a clear idea of our group's goals.
  • Achieves goals.
  • Sets high expectations and goals; encourages others to support the organization.
  • Makes sure that I have a clear idea of our group's goals.
  • Achieves established goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Integrity

  • Develops trust and confidence from others.
  • Demonstrates sincerity in actions with others.
  • Accepts responsibility for mistakes.
  • Protects the integrity and confidentiality of information
  • Establishes relationships of trust, honesty, fairness, and integrity.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Passion To Learn

  • Exhibits willingness to upgrade skills through additional training and education.
  • Is open to feedback from others.
  • Demonstrates a willingness to participate in continuing education courses.
  • Takes initiative for own learning and development.
  • Enhances value to the company through additional training and development.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Administrative Skill

  • Accurately implements contract provisions.
  • Takes responsibility for decisions.
  • Completes reports on-time.
  • Has strong technical/computer skills.
  • Enthusiastic about taking on challenging projects.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Entrepreneurship

  • Balances risks and rewards when making decisions.
  • Is comfortable operating in an environment of uncertainty.
  • Encourages dynamic growth opportunities.
  • Seeks and utilizes mentors to help guide professional development.
  • Exhibits determination and passion in completion of goals.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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