Planning- 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Planning

• Anticipates resources needed to successfully implement a plan or project.
• Understands what equipment will be needed for the project.
• Establishes a course of action for self and others to accomplish specific goals.
• Establishes and monitors timeframes and timelines.
• Efficiently manages deadlines.

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.
• Analyzes interpersonal problems instead of reacting to them.
• Steps away from a situation to process appropriate response.
• Consciously controls own negative emotions in order to keep team morale up.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.

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

Comments:

Emotional Intelligence

• Is attentive to emotional cues and interprets others' feelings correctly.
• Able to understand others' points of view.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Is able to control their own emotions.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

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

Comments:

Technical

• 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.
• Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
• Seeks information from others as needed.
• Demonstrates mastery of the technical competencies required in his/her work.
• Willingly shares his/her technical expertise; sought out as resource by others

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

Comments:

Trustworthy

• Works in a way that makes others want to work with her/him.
• Is trustworthy; is someone I can trust.
• Takes ownership, delivers on commitments
• Demonstrates congruence between statements and actions.
• Builds and maintains the trust of others.

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.