Performance - 360 Degree Feedback Survey Sample #9

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.

Performance	Definite Strength	Meets Standards	Needs Development	N/A
Has great overall performance
Listens and responds to issues and problems
...Produce Quality
Works well in this position.
Shown significant improvement in job performance.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Creates clear standards that are understandable and fair.
Establishes indicators to measure levels of performance.
Obtains commitment from employees regarding completion of tasks.
Reviews job performance shortly after completion of tasks.
Presents performance feedback in a clear and concise manner.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Completes a large volume of work.
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Encourages risk taking and experimentation to improve performance
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
High attention to detail.
Completes reports on-time.
Takes responsibility for decisions.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Leaves time in the schedule for unplanned contingencies.
Prioritizes new tasks according to their relative importance.
Uses agendas when chairing or facilitating meetings.
Does not procrastinate.
Focuses on tasks that have high priority.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Formulates policies and strategies for addressing the Company's important challenges.
Identifies root causes of problems.
Maintains knowledge of current trends in the industry.
Identifies potential problems before they become critical incidents.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Asks follow-up questions as needed.
Delivers influential presentations.
Listens to others' points of view with an open mind
Able to deliver presentations.
An effective listener who is responsive to information needs.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Works effectively during periods of change.
Implements changes as a result of having listened to employees
Adapts to new organizational structures, policies, or procedures.
Identifies new opportunities to achieve goals
Effective in incorporating new ideas.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Is able to see issues from others' perspectives.
Helpful
Constructively receives criticism and suggestions from others.
Works effectively with people from other departments.
Consistently demonstrates ability and willingness to trust others.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Able to understand others' points of view.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    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 [Participant Name Here]'s assessment.