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

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

Comments:

Integrity

• Demonstrates sincerity in actions with others.
• Develops trust and confidence from others.
• Fosters a high standard of ethics and integrity.
• Fosters an environment built upon trust.
• Maintains strong relationships with others.

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

Comments:

Passion To Learn

• Persists until goals are achieved and commitments are met.
• Holds self and associates accountable for goal achievement.
• Takes initiative for own learning and development.
• Critiques own performance and learns from experience as a source of continuous improvement.
• Constantly enhances product knowledge through experimentation and play.

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

Comments:

Administrative Skill

• Takes responsibility for decisions.
• High attention to detail.
• Completes reports on-time.
• Able to develop, justify and present a budget.
• Implements and uses performance measures.

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

Comments:

Entrepreneurship

• Exhibits determination and passion in completion of goals.
• 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.
• Encourages risk taking for developing potential business opportunities.

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.