Goals - 360 Degree Feedback Survey Sample #12

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

• Achieves established goals.
• 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.
• Understands & contributes to development of strategic goals.
• Goal Setting

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Integrity

• Protects the integrity and confidentiality of information
• Maintains strong relationships with others.
• Does what was promised.
• Fosters a high standard of ethics and integrity.
• Demonstrates honesty and truthfulness at all times.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Passion To Learn

• Takes initiative for own learning and development.
• Creates an environment that supports personal development and exploration.
• Stays up-to-date on emerging technologies.
• Takes advantage of training opportunities when they arise.
• Demonstrates a willingness to participate in continuing education courses.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Administrative Skill

• Able to develop, justify and present a budget.
• Strong organizational skills to keep the workspace and department in order
• Takes responsibility for decisions.
• Completes reports on-time.
• Enthusiastic about taking on challenging projects.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Entrepreneurship

• Encourages dynamic growth opportunities.
• Takes the initiative to complete tasks.
• Encourages risk taking for developing potential business opportunities.
• Balances risks and rewards when making decisions.
• Seeks and utilizes mentors to help guide professional development.

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.