Leadership - 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.

Leadership

• Sets specific, measurable, and challenging goals.
• Able to align manpower, design work, an allocate tasks to achieve goals.
• Expresses clear goals and objectives.
• Holds others accountable for their actions.
• Acts decisively in implementing decisions.

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

Comments:

Establishing Focus/Direction

• Sets appropriate goals for employees.
• Functions well under stress, deadlines, and/or significant workloads.
• Maintains self-control when personally criticized.
• Maintains focus when handling several problems or tasks simultaneously.
• Aligns the department's goals with the goals of the organization.

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

Comments:

Persuasion and Influence

• Seeks to obtain consensus or compromise.
• Attempts to persuade others rather than simply control them.
• Ensures stakeholders are involved in the decision making process.
• Develops a good rapport with others.
• Able to express own goals and needs.

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

Comments:

Safety

• Participates in safety training as applicable.
• Keeps accurate safety records.
• Ensures that all supervisors are aware of regulatory and compliance measures.
• Develops a sustainable safety culture.
• Identifies and addresses safety needs.

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

Comments:

Global Perspective

• Analyzes global issues/problems that are having a large impact on the Company.
• Considers customers point of view when making decisions.
• Aligns personal vision with global strategies.
• Understands and appreciates the perspectives offered by others with different cultural backgrounds.
• Is aware of the culture, behaviors, identities and beliefs of others.

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.