Juggling Multiple Responsibilities - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Can multi-task while performing all of their other responsibilities and activities.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
Results Oriented	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Stays focused on meeting the needs of customers.
Directs team in prioritizing daily work activities
Works toward achievement of goals even when confronted with obstacles.
What are your suggestions for how can make improvements in Results Oriented?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops solutions to challenging problems.
Is creative.
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Is creative and inspirational.
What are your suggestions for how can make improvements in Creativity?
Professional Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
What are your suggestions for how can make improvements in Professional Development?
Punctuality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Conducts appointments at scheduled start time.
Maintains an efficient schedule of activities.
Invoices clients on a timely basis.
Starts the workday when scheduled.
Starts meetings on time.
What are your suggestions for how can make improvements in Punctuality?
Quality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Encourages others to achieve high quality standards.
Encourages employees to produce the best quality products.
Reflects on what is working and what could be improved.
Encourages others to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
What are your suggestions for how can make improvements in Quality?
Goals	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Goal Setting
Makes sure that team members have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
What are your suggestions for how can make improvements in Goals?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Attends to the important details of a job or task.
Avoids stating unclear or conflicting goals.
Checks details thoroughly.
Clarifies problems and their causes to help employees correct them.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
What are your suggestions for how can make improvements in Clarity?
Co-worker Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
What are your suggestions for how can make improvements in Co-worker Development?
Conflict Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Identifies and takes steps to prevent potential confrontations.
Discusses conflict situations with supervisor.
Helps employees to think through alternative ways to resolve conflict situations.
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
What are your suggestions for how can make improvements in Conflict Management?
Planning	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Makes plans and follows through.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Able to identify the needs of the department before a major change.
Delegates role to team members to accomplish goals.
What are your suggestions for how can make improvements in Planning?

55. Strengths
    
    
    
56. Areas for Development
    
    
    
57. Please give any final comments or suggestions for 's assessment.