Performance - 360 Degree Feedback Survey Sample #3

Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

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

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Performance	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Shown significant improvement in job performance.
Has great overall performance
Effective in performing his/her job.
Sets a high standard for job performance.
Listens and responds to issues and problems
Please feel free to provide any comments to help explain your answers?
Quality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Encourages employees to produce the best quality products.
Encourages others to produce the highest quality work products.
Reflects on what is working and what could be improved.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Please feel free to provide any comments to help explain your answers?
Technical	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Willingly shares his/her technical expertise; sought out as resource by others
Knows how to produce high quality products/work.
Seeks information from others as needed.
Demonstrates mastery of the technical competencies required in his/her work.
Please feel free to provide any comments to help explain your answers?
Technology Use/Management	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Please feel free to provide any comments to help explain your answers?
Continual Improvement	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Looks for ways to expand and learn new job skills.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Promotes training and development opportunities to enhance job performance.
Please feel free to provide any comments to help explain your answers?
Punctuality	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Starts the workday when scheduled.
Conducts appointments at scheduled start time.
Responds to requests for information in a timely manner.
Starts meetings on time.
Avoids making personal phone calls during working hours.
Please feel free to provide any comments to help explain your answers?
Attitude	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Shows by their actions that they trust in the positive intentions of others.
Works to eliminate unnecessary work or barriers that get in others' way.
Contributes to a positive and fun work environment.
Please feel free to provide any comments to help explain your answers?
Client Focus	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Satisfies client needs.
Forms strong client relationships
Ensures client commitments and requirements are met or exceeded
Maintains strong relationships with clients.
Obtains feedback to ensure client needs are being met.
Please feel free to provide any comments to help explain your answers?
Customer Focus	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Develops good rapport and trust with the customer.
Does not hesitate to address customer concerns or complaints.
Considers customers point of view when making decisions.
Maintains positive customer relationships.
Consistently models positive customer service attitudes.
Please feel free to provide any comments to help explain your answers?
Teamwork	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Creates a climate that encourages team participation.
Shares credit for accomplishments with team members
Communicates a clear message that teamwork and collaboration are expected.
Encourages open communication
Carries his/her share of the workload
Please feel free to provide any comments to help explain your answers?
Company	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Please feel free to provide any comments to help explain your answers?

56. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for 's assessment.