Objectives - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Objectives	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Consistently provides me with timely feedback for improving my performance.
Ability to establish realistic goals.
Works toward achieving established goals and objectives.
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
If were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Creativity	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Adds value to the department/organization.
Conceives, implements and evaluates ideas.
Is creative.
Inspires creativity in their team.
Develops solutions to challenging problems.
If were to make improvements in Creativity, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks and utilizes opportunities for continuous learning and self-development.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Displays high energy and enthusiasm on consistent basis.
Identifies ways to simplify work processes and reduce cycle times
If were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Emotional Intelligence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is able to express themselves clearly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to control their own emotions.
If were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets a high standard for job performance.
Shown significant improvement in job performance.
Works well in this position.
...Produce Quality
Works effectively in the department.
If were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks for additional information when making critical decisions.
Does not lose sight of the big picture when making decisions
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Is able to make decisions quickly.
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Initiative	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Takes action without being asked.
Seeks and utilizes opportunities for continuous learning and self-development.
Immediately works to complete goals well before their deadline.
If were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Ensures regulations are followed as required.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Explains regulations and procedures to others as required.
Follows all safety regulations and procedures.
Addresses issues quickly before they develop into major problems.
If were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Asks the 'right' questions to size up or evaluate situations.
Considers impact of actions on other areas of the organization.
Able to align resources to meet the business needs of the company.
Understands complex issues and problems.
Applies the knowledge of work processes to influence the achievement of business goals
If were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

46. What are 's greatest strengths demonstrated this year?
    
    
    
47. What are 's areas for development?
    
    
    
48. Please give any final comments or suggestions for 's assessment.