Managing Performance - 360 Degree Feedback Survey Sample #9

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.

Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Measures performance against goals and objectives.
Recognizes and values good performance.
Sets and maintains high standards for self and others.
Makes sure commitments are understood and met.
Addresses grievances sooner rather than later.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Allows subordinates to use their own methods and procedures.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Sets clear and reasonable expectations for others and follows through on their progress.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Can be counted on to do what they say they are going to do.
Develops goals and establishes objective measures of success.
Creates a consistent process for prioritizing work.
Keeps supervisor informed of recent events.
Acts like an owner when they make decisions.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates sincerity in actions with others.
Does what was promised.
Develops trust and confidence from others.
Fosters a high standard of ethics and integrity.
Demonstrates honesty and truthfulness at all times.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Able to understand others' points of view.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Focuses on tasks that have high priority.
Makes time for developing plans and schedules.
Deals effectively with interruptions.
Prioritizes new tasks according to their relative importance.
Prioritizes tasks to identify immediate and long-term objectives.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Stays focused on meeting the needs of customers.
Explains the "whys" behind organizational objectives
Encourages a high-energy, fun work environment and coaches others on how to do the same
Inspires and motivates co-workers to be productive and energetic at work
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops safety guidelines for the department.
Ensures compliance with safety regulations.
Encourages others to work safely.
Keeps accurate safety records.
Committed to safety in the workplace.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Works effectively with people from other departments.
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Anticipates business cycles and trends and makes adjustments in a timely manner.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Identifies root causes of problems.
Analyzes unique issues or problems impacting the Company.
Formulates policies and strategies for addressing the Company's important challenges.

51. Overall, please rate the effectiveness of .
    

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

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for 's assessment.