Results Oriented - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Results Oriented	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Directs team in prioritizing daily work activities
Encourages a high-energy, fun work environment and coaches others on how to do the same
Does not become distracted by non-issues or interruptions.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Inspires and motivates co-workers to be productive and energetic at work
What are your suggestions for how can make improvements in Results Oriented?
Action	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is not afraid to take corrective action when necessary.
Displays high energy and enthusiasm on consistent basis.
Drives and mobilizes others progress toward goals.
Effectively makes decisions
Does whatever it takes (within reason) to get the job done.
What are your suggestions for how can make improvements in Action?
Analytical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Uses appropriate techniques to solve problems.
Can effectively interpret and analyze data.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies the root cause of a problem.
Actively seeks constructive feedback from others.
What are your suggestions for how can make improvements in Analytical?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Prepares for unexpected contingencies.
Immediately works to complete goals well before their deadline.
Takes action without being asked.
What are your suggestions for how can make improvements in Initiative?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Assesses current capabilities before committing to new requests from customers.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Plans and organizes continuously while performing all other responsibilities and activities.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
Excellence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is planful and organized.
Takes a lot of pride in their work.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
What are your suggestions for how can make improvements in Excellence?
Managing Performance	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Measures performance against goals and objectives.
Examines the most effective ways for accomplishing goals.
Reviews job performance shortly after completion of tasks.
Prioritizes the work of others.
Recognizes and values good performance.
What are your suggestions for how can make improvements in Managing Performance?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is creative.
Adds value to the department/organization.
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Inspires creativity in their team.
What are your suggestions for how can make improvements in Creativity?
Co-worker Development	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
What are your suggestions for how can make improvements in Co-worker Development?

45. Strengths
    
    
    
46. Areas for Development
    
    
    
47. Please give any final comments or suggestions for 's assessment.