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

• Encourages me to take on greater responsibility.
• Consistently provides me with timely feedback for improving my performance.
• Effectively organizes resources and plans
• Organizes and schedules events, activities, and resources.
• Ability to establish realistic goals.

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

Comments:

Creativity

• Is creative and inspirational.
• Adds value to the department/organization.
• Is creative.
• Creates a lot of new ideas.
• Conceives, implements and evaluates ideas.

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

Comments:

Establishing Focus/Direction

• Makes sure that employees understand and identify with the team's mission.
• Helps guide employees with prioritizing tasks.
• Makes sure that employees understand how their work relates to organizational goals.
• Excellent at managing time.
• Stays focused even when under pressure and stress.

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

Comments:

Change Management

• Inspires others to accept changes.
• Effective in dealing with ambiguous and challenging situations.
• Develops a strategy for implementing changes.
• Facilitates change with minimal resistance.
• Supports the Company's efforts to implement changes.

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

Comments:

Teamwork

• Facilitates effective decision-making practices to further develop the team.
• Supports open communication between team members.
• Emphasizes the importance of getting individuals to work as a team
• Builds strong relationships with team members.
• Works with other team members to achieve objectives.

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.