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

• Makes sure that I have a clear idea of our group's goals.
• Establishes and documents goals and objectives.
• Understands & contributes to development of strategic goals.
• Makes sure that team members have a clear idea of our group's goals.
• Achieves goals.

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

Comments:

Integrity

• Protects the integrity and confidentiality of information
• Accepts responsibility for mistakes.
• Demonstrates honesty and truthfulness at all times.
• Fosters an environment built upon trust.
• Fosters a high standard of ethics and integrity.

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

Comments:

Passion To Learn

• Embraces new technology and procedures.
• Holds self and associates accountable for goal achievement.
• Enhances value to the company through additional training and development.
• Creates an environment that supports personal development and exploration.
• Demonstrates through personal behavior the commitment to high standards of performance.

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

Comments:

Administrative Skill

• Implements and uses performance measures.
• Able to develop, justify and present a budget.
• Strong organizational skills to keep the workspace and department in order
• Enthusiastic about taking on challenging projects.
• High attention to detail.

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.
• Is comfortable operating in an environment of uncertainty.
• Seeks and utilizes mentors to help guide professional development.
• 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.