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

• Able to organize work.
• Organizes and schedules events, activities, and resources.
• Establishes goals and objectives.
• Communicates goals and objectives to employees.
• Works toward achieving established goals and objectives.

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

Comments:

Creativity

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

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

Comments:

Establishing Focus/Direction

• Stays focused even when under pressure and stress.
• Functions well under stress, deadlines, and/or significant workloads.
• Maintains self-control when personally criticized.
• 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

• Facilitates change with minimal resistance.
• Able to get department employees to accept new changes.
• Assists others in understanding changes to the organization.
• Addresses organizational and departmental resistance to changes.
• Develops a strategy for implementing changes.

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

Comments:

Teamwork

• Encourages open communication
• Works cooperatively with others to solve problems.
• Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
• Encourages others to share ideas to develop team cohesion
• 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.