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

• Organizes and schedules events, activities, and resources.
• Establishes goals and objectives.
• Effectively organizes resources and plans
• Ability to establish realistic goals.
• Assures [Company] principles are understood, employed & pursued.

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

Comments:

Creativity

• Inspires creativity in their team.
• Is creative and inspirational.
• Develops solutions to challenging problems.
• Adds value to the department/organization.
• Creates a lot of new ideas.

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

Comments:

Establishing Focus/Direction

• Maintains self-control when personally criticized.
• Makes sure that employees understand and identify with the team's mission.
• Helps guide employees with prioritizing tasks.
• Maintains focus when handling several problems or tasks simultaneously.
• Excellent at managing time.

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

Comments:

Change Management

• Able to get team members to change their attitudes.
• Is a leading force driving changes.
• Supports the Company's efforts to implement changes.
• Addresses organizational and departmental resistance to changes.
• Effective in dealing with ambiguous and challenging situations.

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

Comments:

Teamwork

• Encourages dialog between team members.
• Actively participates in the work of teams; seeks and listens to others' contributions
• Works with other team members to identify bottle necks in the production process.
• Actively and openly participates in team meetings.
• Actively participates as a team member

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.