Performance - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Performance

What does Performance mean?
It means that ...

• You have great overall performance
• You are able to organize work.
• You shown significant improvement in job performance.
• You are effective in performing your job.
• You work effectively in the department.

To what extent does this person exhibit Performance?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Bias for Action

What does Bias for Action mean?
It means that ...

• You identify ways to simplify work processes and reduce cycle times
• You complete a large volume of work.
• You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
• You coach others to foster an environment which can adapt quickly and willingly to rapid change.
• You motivate others to achieve or exceed goals

To what extent does this person exhibit Bias for Action?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Clarity

What does Clarity mean?
It means that ...

• You maintain clarity in goals and objectives.
• You communicate ideas and facts clearly and effectively in writing.
• You avoid stating unclear or conflicting goals.
• You write clear job descriptions for positions in the organization.
• You seek to reduce ambiguity in messaging and documents.

To what extent does this person exhibit Clarity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Fiscal Management

What does Fiscal Management mean?
It means that ...

• You develop budgets and plans for various programs and initiatives.
• You ensure others follow the correct rules and regulations on fiscal matters.
• You are effective in using company's resources.
• You provide budgeting and accounting support to the Company.
• You effectively manage appropriations, reporting, purchases, expenditures, payrolls, and staff.

To what extent does this person exhibit Fiscal Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...

• You are attentive to emotional cues and interprets others' feelings correctly.
• You are able to manage your own emotions.
• You accurately perceive the emotional reactions of others.
• You are able to control your own emotions.
• You are able to express yourself clearly.

To what extent does this person exhibit Emotional Intelligence?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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