Performance - 360 Degree Feedback Survey Sample #10

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

• Effectively organizes resources and plans
• Listens and responds to issues and problems
• Shown significant improvement in job performance.
• Has great overall performance
• Works effectively in the department.

If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Initiative

• Initiates draft documents for the director.
• Does the right thing without being told.
• Expands the offerings of the department by working evenings and weekends.
• Initiates draft reports for consideration.
• Begins immediate action on projects.

If [Participant Name] were to make improvements in Initiative, what are your suggestions for how he/she can improve this?

Business Acumen

• Understands impacts of domestic & global market events & issues.
• Creates strategic plans that conform with regulations and industry guidelines.
• Understands and applies business and financial principles.
• Establishes clear, long-term objectives that align with the company's vision and mission.
• Is up-to-date with regulatory guidelines and policies.

If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

Customer Focus

• Builds long term relationships with customers.
• Actively listens to concerns from customers.
• Creates new and innovative products for customers.
• Is consistent in services provided to customers.
• Understands the needs of the customer.

If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Emotional Intelligence

• Is attentive to emotional cues and interprets others' feelings correctly.
• Accurately perceives the emotional reactions of others.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Is able to manage their own emotions.
• Is able to express themselves clearly.

If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.