Performance - 360 Degree Feedback Survey Sample #9

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.

Performance	Definite Strength	Meets Standards	Needs Development	N/A
Has great overall performance
Effectively organizes resources and plans
...Overall Performance
Shown significant improvement in job performance.
Works effectively in the department.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Uses timely and appropriate corrective/disciplinary actions.
Addresses grievances sooner rather than later.
Prioritizes the work of others.
Recognizes and values good performance.
Makes sure commitments are understood and met.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Seeks and utilizes opportunities for continuous learning and self-development.
Conveys a sense of urgency about addressing problems and opportunities
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Takes responsibility for decisions.
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Avoids distractions in the workplace.
Sets clearly defined goals.
Makes time for developing plans and schedules.
Completes high-priority work within required timelines.
Uses agendas when chairing or facilitating meetings.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Implements long-term solutions to problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies potential problems before they become critical incidents.
Formulates policies and strategies for addressing the Company's important challenges.
Communicates vision for the department and company.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Communications with department leadership
Able to demonstrate persuasiveness in pursuit of objectives.
Listens to others' points of view with an open mind
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Asks follow-up questions as needed.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Can handle changes without complaining.
Adapts to new organizational structures, policies, or procedures.
Encourages others to adopt new procedures.
Implements changes as a result of having listened to employees
Adapts to circumstances as needed.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
Helpful
Constructively receives criticism and suggestions from others.
Works effectively with people from other departments.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Is able to express themselves clearly.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.

51. Overall, please rate the effectiveness of .
    

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

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