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.
• Goal Setting
• Understands & contributes to development of strategic goals.
• Makes sure that I have a clear idea of our group's goals.

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

Comments:

Integrity

• Demonstrates sincerity in actions with others.
• Follows tasks to completion.
• Does what was promised.
• Maintains strong relationships with others.
• 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

• Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
• Constantly enhances product knowledge through experimentation and play.
• Holds self and associates accountable for goal achievement.
• Is open minded and curious about learning new skills.
• Takes initiative for own learning and development.

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

Comments:

Administrative Skill

• Has strong technical/computer skills.
• Implements and uses performance measures.
• Takes responsibility for decisions.
• High attention to detail.
• Strong organizational skills to keep the workspace and department in order

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

Comments:

Entrepreneurship

• Encourages dynamic growth opportunities.
• Has a strategic awareness on how to promote the organization.
• Able to adapt the department to changing business demands and climate.
• Finds unique ways to go around barriers to success.
• Balances risks and rewards when making decisions.

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.