Objectives - 360 Degree Feedback Survey Sample #11

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.

Objectives

What does Objectives mean?
It means that ...

• You communicate goals and objectives to employees.
• You effectively organize resources and plans
• You are able to establish realistic goals.
• You are able to organize work.
• You work toward achieving established goals and objectives.

To what extent does this person exhibit Objectives?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strategic Insight

What does Strategic Insight mean?
It means that ...

• You identify root causes of problems.
• You anticipate business cycles and trends and makes adjustments in a timely manner.
• You create strategies that significantly benefit the Company.
• You communicate vision for the department and company.
• You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.

To what extent does this person exhibit Strategic Insight?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Supervisory Skills

What does Supervisory Skills mean?
It means that ...

• Others emulate my enthusiasm for work.
• I resolve disputes in a way that quickly reaches mutual agreement.
• You promote teamwork and cooperation within the department.
• You provide direction and coaching to employees.
• You foster an environment that supports open communication.

To what extent does this person exhibit Supervisory Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Interpersonal Skills

What does Interpersonal Skills mean?
It means that ...

• You demonstrate compassion and understanding of others.
• You adapt management style to meet the needs of the individual or situation.
• You create an atmosphere that supports the open expression of ideas
• You successfully resolve conflicts and grievances to a win-win solution.
• You value the opinions of others.

To what extent does this person exhibit Interpersonal Skills?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Customer Focus

What does Customer Focus mean?
It means that ...

• You are above average in addressing the needs of the customers.
• I actively listen to concerns from customers.
• You help customers feel they are receiving services tailored specifically to their needs.
• You address customer complaints immediately.
• You anticipate potential obstacles to meeting customer needs.

To what extent does this person exhibit Customer Focus?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.