Objectives - 360 Degree Feedback Survey Sample #12

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

• Works toward achieving established goals and objectives.
• Assures [Company] principles are understood, employed & pursued.
• Establishes goals and objectives.
• Encourages me to take on greater responsibility.
• Communicates goals and objectives to employees.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Creativity

• Creates a lot of new ideas.
• Is creative and inspirational.
• Develops solutions to challenging problems.
• Inspires creativity in their team.
• Conceives, implements and evaluates ideas.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Establishing Focus/Direction

• Aligns the department's goals with the goals of the organization.
• Stays focused even when under pressure and stress.
• Maintains focus when handling several problems or tasks simultaneously.
• Excellent at managing time.
• Makes sure that employees understand how their work relates to organizational goals.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Change Management

• Supports the Company's efforts to implement changes.
• Effective in implementing new organizational vision and values.
• Effective in dealing with ambiguous and challenging situations.
• Works cooperatively with others to implement changes.
• Supports new initiatives for organizational changes to improve effectiveness.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Teamwork

• Comes across as a reliable, committed team member
• Creates a climate that encourages team participation.
• Applies knowledge of team behavior to help achieve organizational goals and objectives.
• Encourages collaboration with other departments.
• Willingly share their technical expertise

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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