Planning- 360 Degree Feedback Survey Sample #12

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.

Planning

• Has developed an effective strategic plan.
• Anticipates challenges and has plans to overcome them.
• Encourages others to follow the plan.
• Works in an organized manner
• Develops effective plans to deal with unforeseen circumstances.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Self Management

• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Steps away from a situation to process appropriate response.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• Consciously controls own negative emotions in order to keep team morale up.
• Uses patience and self-control in working with customers and associates.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Emotional Intelligence

• Accurately perceives the emotional reactions of others.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• 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.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Technical

• Demonstrates mastery of the technical competencies required in his/her work.
• Is knowledgeable of procedures or systems necessary for the job.
• Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
• Seeks information from others as needed.
• Willingly shares information and expertise; sought out as resource by others

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Trustworthy

• Is trustworthy; is someone I can trust.
• Works in a way that makes others want to work with her/him.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Builds and maintains the trust of others.
• Consistently keeps commitments.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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