Initiative - 360 Degree Feedback Survey Sample #9

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.

Initiative	Definite Strength	Meets Standards	Needs Development	N/A
Volunteers time and effort toward the completion of important goals.
Is proactive and gets things done.
Completes tasks without having to be told to do so.
Capitalizes on opportunities as they become available.
Initiates the development of new products.
Change Management	Definite Strength	Meets Standards	Needs Development	N/A
Supports the Company's efforts to implement changes.
Is an inspiration for others to accept the recent changes.
Inspires others to accept changes.
Adopts changes to set and example for others to follow.
Addresses organizational and departmental resistance to changes.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Committed to the team.
Self Management	Definite Strength	Meets Standards	Needs Development	N/A
Consciously controls own negative emotions in order to keep team morale up.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Pursues learning that will enhance job performance.
Views setbacks as opportunities to learn from.
Takes charge of their training and skills enhancement.
Participates in regular training offered.
Shares best practices with others and learns from others.
Establishing Focus/Direction	Definite Strength	Meets Standards	Needs Development	N/A
Stays focused even when under pressure and stress.
Excellent at managing time.
Sets appropriate goals for employees.
Functions well under stress, deadlines, and/or significant workloads.
Maintains focus when handling several problems or tasks simultaneously.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Communicates with the teams often to ensure that the deadlines are met.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Schedules project phases and tasks to facilitate successful completion of the project.
Understands what software tools are available to be used to manage the project.
Identifies the source materials that will be needed.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Allows employees to decide how they wish to complete the tasks.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Assigns tasks to create learning opportunities for the employees.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Tells subordinates what to do, not how to do it.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Is aware of OSHA safety guidelines.
Creates accurate and effective measures of safety.
Encourages others to work safely.
Develops a strong safety culture.
Encourages others to attend safety training.
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Permits employees to take training to become more independent.
Gives employees opportunities to demonstrate their skills.
Recognizes the expertise that employees have in certain areas and allows them the freedom to operate as they see fit.
Allows employees to take ownership of their work.
Considers ideas from employees that may challenge traditional ways of doing the job.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Stays calm and focuses on the core issues to be discussed.
Is flexible in responses.
Able to adapt to changing situations.
Able to say "no" when it is essential to maintaining quality and high standards.
Is able to decline bad ideas to avoid making poor decisions.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Communicates a vision of where the Company needs to be in the future.
Persuades others to follow the Company's vision.
Clearly articulates a vision for his/her work and inspires others to support it
Creates a positive vision of the future for the Company.
Communicates the vision and strategy of [Company]

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.