Quality - 360 Degree Feedback Survey Sample #9

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.

Quality	Definite Strength	Meets Standards	Needs Development	N/A
Encourages others to produce the highest quality work products.
Encourages employees to produce the best quality products.
Reflects on what is working and what could be improved.
Encourages others to achieve high quality standards.
Always strives to produce the highest quality work products.
Problem Solving	Definite Strength	Meets Standards	Needs Development	N/A
Able to balance the needs of different people in a solution to a problem.
Works cooperatively with others to solve problems.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Ability to develop innovative solutions to problems.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Focuses on tasks that have high priority.
Sets a good balance between work and family life.
Prioritizes tasks to identify immediate and long-term objectives.
Sets clearly defined goals.
Keeps and maintains a To-Do list.
Achievement	Definite Strength	Meets Standards	Needs Development	N/A
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Completes work to a high technical standard
Systematically works to improve the organization
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Maintains clarity in goals and objectives.
Clarifies problems and their causes to help employees correct them.
Checks details thoroughly.
Communicates ideas and facts clearly and effectively in writing.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Demonstrates a sense of responsibility and commitment to public trust.
Communicates an understanding of the other person's interests, needs and concerns.
Takes ownership, delivers on commitments
Consistently keeps commitments.
Works in a way that makes others want to work with her/him.
Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
Assesses employees' developmental needs.
Sets performance objectives for subordinates that encourages development opportunities.
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Encourages employees through recognition of positive changes in behavior.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
Performance	Definite Strength	Meets Standards	Needs Development	N/A
Works effectively in the department.
Has great overall performance
Effective in performing his/her job.
Able to organize work.
...Overall Performance
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Communicates well with team members.
Encourages collaboration with other departments.
Encourages open communication
Builds consensus and shares relevant information.
Coaches team members to work toward a common goal.
Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
Is flexible and open minded in dealing with others.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Works effectively in dynamic and changing work environments.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Able to work effectively with new people and new teams.
Action	Definite Strength	Meets Standards	Needs Development	N/A
Works quickly when faced with difficult problems.
Makes effective decisions, even when under pressure.
Is not afraid to take corrective action when necessary.
Motivates & supports others to gain skills
Displays high energy and enthusiasm on consistent basis.

61. Overall, please rate the effectiveness of .
    

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

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for 's assessment.