Performance - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Performance	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Listens and responds to issues and problems
...Overall Performance
Able to organize work.
Effectively organizes resources and plans
Has great overall performance
What are your suggestions for how can make improvements in Performance?
Administrative Skill	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
High attention to detail.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Strong organizational skills to keep the workspace and department in order
Takes responsibility for decisions.
What are your suggestions for how can make improvements in Administrative Skill?
Technology Use/Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
What are your suggestions for how can make improvements in Technology Use/Management?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Develops solutions to challenging problems.
Is creative and inspirational.
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Is creative.
What are your suggestions for how can make improvements in Creativity?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Does not allow own emotions to interfere with the performance of others.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Consciously controls own negative emotions in order to keep team morale up.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
What are your suggestions for how can make improvements in Self Management?
Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
What are your suggestions for how can make improvements in Persuasion and Influence?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains clarity in goals and objectives.
Communicates ideas and facts clearly and effectively in writing.
Avoids creating ambiguity or mixed messages.
Avoids stating unclear or conflicting goals.
Attends to the important details of a job or task.
What are your suggestions for how can make improvements in Clarity?
Developing Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Encourages employees through recognition of positive changes in behavior.
Assesses employees' developmental needs.
Is open to receiving feedback.
Provides constructive feedback to others.
Assigns tasks and responsibilities to develop skills of others.
What are your suggestions for how can make improvements in Developing Others?
Business Acumen	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Considers impact of actions on other areas of the organization.
Understands complex issues and problems.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Asks the 'right' questions to size up or evaluate situations.
Able to align resources to meet the business needs of the company.
What are your suggestions for how can make improvements in Business Acumen?
Strategic Insight	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Identifies root causes of problems.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies potential problems before they become critical incidents.
What are your suggestions for how can make improvements in Strategic Insight?

51. Strengths
    
    
    
52. Areas for Development
    
    
    
53. Please give any final comments or suggestions for 's assessment.