Objectives - 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.

Objectives	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Establishes goals and objectives.
Effectively organizes resources and plans
Able to organize work.
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.
What are your suggestions for how can make improvements in Objectives?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Does not allow own emotions to interfere with the performance of others.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Consciously controls own negative emotions in order to keep team morale up.
What are your suggestions for how can make improvements in Self Management?
Feedback	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Asks others for their ideas and opinions.
Open to the suggestions of others.
Accepts the views of others.
Actively seeks feedback from others.
Is visible and approachable.
What are your suggestions for how can make improvements in Feedback?
Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is ready to offer help
Sets an example for others to follow
Makes you feel enthusiastic about your work
Delegate tasks effectively
Takes responsibility for things that go wrong
What are your suggestions for how can make improvements in Management?
Supervisory Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Provides constructive, ongoing feedback.
Resolves personnel problems quickly and effectively.
Treats all staff equitably.
Is aware of the unique strengths of each employee.
Maintains good working relationships with employees.
What are your suggestions for how can make improvements in Supervisory Skills?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Understanding what others need.
Persuades others to consider alternative points of view.
Attempts to persuade others rather than simply control them.
What are your suggestions for how can make improvements in Persuasion and Influence?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Plans and organizes continuously while performing all other responsibilities and activities.
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.
Assesses current capabilities before committing to new requests from customers.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
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?
Entrepreneurship	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Able to adapt the department to changing business demands and climate.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Devotes a certain amount of time and effort to developing new business opportunities.
Encourages dynamic growth opportunities.
What are your suggestions for how can make improvements in Entrepreneurship?
Company	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
What are your suggestions for how can make improvements in Company?

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