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

• Sets long-term and short-term goals.
• Able to organize work.
• Works toward achieving established goals and objectives.
• Communicates goals and objectives to employees.
• Consistently provides me with timely feedback for improving my performance.

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

Comments:

Creativity

• Develops solutions to challenging problems.
• Adds value to the department/organization.
• Is creative and inspirational.
• Is creative.
• Conceives, implements and evaluates ideas.

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

Comments:

Establishing Focus/Direction

• Excellent at managing time.
• Maintains focus when handling several problems or tasks simultaneously.
• Stays focused even when under pressure and stress.
• Maintains self-control when personally criticized.
• Sets appropriate goals for employees.

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

Comments:

Change Management

• Adopts changes to set and example for others to follow.
• Able to get department employees to accept new changes.
• Assists others in understanding changes to the organization.
• Supports the Company's efforts to implement changes.
• Develops plans for following through on the changes.

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

Comments:

Teamwork

• Facilitates team discussions and problem-solving
• Works with other team members to identify bottle necks in the production process.
• Contributes to and supports team decision-making process
• Focuses on understanding the other team member's message.
• Expresses appreciation for the work of other team members.

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.