Objectives - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Objectives

• Sets long-term and short-term goals.
• Works toward achieving established goals and objectives.
• Effectively organizes resources and plans
• Organizes and schedules events, activities, and resources.
• 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

• Adds value to the department/organization.
• Inspires creativity in their team.
• 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

• Makes sure that employees understand and identify with the team's mission.
• Excellent at managing time.
• Functions well under stress, deadlines, and/or significant workloads.
• Stays focused even when under pressure and stress.
• Aligns the department's goals with the goals of the organization.

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

Comments:

Change Management

• Is a leading force driving changes.
• Effective in implementing new organizational vision and values.
• Facilitates change with minimal resistance.
• Inspires others to want to change.
• Works cooperatively with others to implement changes.

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

Comments:

Teamwork

• Helps other team members to research solutions to a problem.
• Listens to the opinions of other team members.
• Appreciates the input from other team members.
• Facilitates effective decision-making practices to further develop the team.
• Is able to accurately paraphrase and summarize what other team members have said.

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.