Results Oriented - 360 Degree Feedback Survey Sample #11

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.

Results Oriented

What does Results Oriented mean?
It means that ...

• You make changes to the plans if it will result in increased output.
• You concentrate efforts on the most urgent needs.
• I hold others accountable for producing high quality work.
• You exceed performance requirements.
• I am always willing to help coworkers to keep productions levels high.

To what extent does this person exhibit Results Oriented?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Decision Making

What does Decision Making mean?
It means that ...

• I decide which short- and long-term goals should be created.
• You take into account the impact decisions will have on others.
• You decide which long-term goals should be met.
• You have a good rapport other people which is helpful in making decisions on the team.
• You come across as confident, decisive, and resilient

To what extent does this person exhibit Decision Making?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Action

What does Action mean?
It means that ...

• I persist in work despite obstacles encountered.
• You delegate tasks and assignments to subordinates as soon as a request is made.
• I take the initiative and do not wait for the situation to change.
• You do whatever it takes (within reason) to get the job done.
• You are not afraid to take corrective action when necessary.

To what extent does this person exhibit Action?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Management

What does Management mean?
It means that ...

• You keep staff informed about what is happening in the company
• You delegate tasks effectively
• You take responsibility for things that go wrong
• You set an example for others to follow
• You make others feel enthusiastic about your work

To what extent does this person exhibit Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Attitude

What does Attitude mean?
It means that ...

• You build open and trusting relationships.
• You work to eliminate unnecessary work or barriers that get in others' way.
• You visibly support and encourages diversity in style and background.
• You show by your actions that you trust in the positive intentions of others.
• You treat all people fairly and with respect.

To what extent does this person exhibit Attitude?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


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