Planning- 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.

Planning	Definite Strength	Meets Standards	Needs Development	N/A
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Anticipates obstacles and ways to overcome them.
Makes plans and follows through.
Entrepreneurship	Definite Strength	Meets Standards	Needs Development	N/A
Has a strategic awareness on how to promote the organization.
Excellent at managing relationships with stakeholders.
Balances risks and rewards when making decisions.
Seeks and utilizes mentors to help guide professional development.
Takes the initiative to complete tasks.
Creativity	Definite Strength	Meets Standards	Needs Development	N/A
Develops solutions to challenging problems.
Is creative and inspirational.
Adds value to the department/organization.
Inspires creativity in their team.
Is creative.
Leadership	Definite Strength	Meets Standards	Needs Development	N/A
Sets clear goals and objectives for subordinates.
Highly effective supervisor.
Able to align manpower, design work, an allocate tasks to achieve goals.
Acts decisively in implementing decisions.
Effectively leads others.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
Shown significant improvement in job performance.
Effective in performing his/her job.
Effectively organizes resources and plans
...Produce Quality
Works well in this position.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
Recognizes and celebrates accomplishments of others.
Provides constructive feedback to others.
Assesses employees' developmental needs.
Tries to ensure employees are ready to move to the next level.
Is open to receiving feedback.
Conflict Management	Definite Strength	Meets Standards	Needs Development	N/A
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Identifies and takes steps to prevent potential confrontations.
Tries to understand others' point of view before making judgments

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

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.