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 consistently provide me with timely feedback for improving my performance.
• You are able to organize work.
• You assure [Company] principles are understood, employed & pursued.
• You organize and schedules events, activities, and resources.

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 create strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
• You analyze unique issues or problems impacting the Company.
• I attend industry conferences to gain further insight into how other companies deal with similar issues.
• You understand how to strategically grow the business and increase customers.
• You formulate policies and strategies for addressing the Company's important challenges.

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 ...

• You review performance against established measures.
• You motivate and inspires high performance by team members.
• I allow employees to make their own decisions.
• You resolve personnel problems quickly and effectively.
• You use persuasion rather than threats of disciplinary action.

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 ...

• I am someone you can trust.
• I maintain a high degree of honesty and integrity.
• You understand the core issues of conversations.
• You communicate well at all levels of the organization.
• You apply appropriate communication techniques to the situation.

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 make customer's needs a top priority.
• I am persistent in solving customer issues.
• I am transparent in all communications with the customer.
• I identify the core needs of the customer.
• I consistently meet customer's 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.