Goals - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Goals

• Makes sure that I have a clear idea of our group's goals.
• Achieves goals.
• Sets high expectations and goals; encourages others to support the organization.
• Achieves established goals.
• Conducts timely follow-up; keeps others informed on a need to know basis.

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

Comments:

Integrity

• Fosters an environment built upon trust.
• Fosters a high standard of ethics and integrity.
• Demonstrates honesty and truthfulness at all times.
• Does what was promised.
• 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.
• Demonstrates a willingness to participate in continuing education courses.
• Enjoys learning new skills and techniques.
• Is open to feedback from others.
• Is open minded and curious about learning new skills.

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

Comments:

Administrative Skill

• Completes reports on-time.
• Enthusiastic about taking on challenging projects.
• Implements and uses performance measures.
• High attention to detail.
• Able to develop, justify and present a budget.

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

Comments:

Entrepreneurship

• Able to adapt the department to changing business demands and climate.
• Balances risks and rewards when making decisions.
• Devotes a certain amount of time and effort to developing new business opportunities.
• Finds unique ways to go around barriers to success.
• Takes the initiative to complete tasks.

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.