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 ...

• I identify what needs to be accomplished.
• You keep track of progress toward the results.
• I establish benchmarks to be met when working on projects.
• I help the team maintain focus on the goals.
• I determine the proper order for completion of the tasks.

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 ...

• You outline the parameters influencing the decision making process.
• I have enough self-control to avoid making impulsive decisions.
• You weigh the pros and cons of decisions.
• I identify the parameters impacting the decision.
• You are confident in the decisions you make.

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 ...

• You address performance issues quickly.
• You will take action to address a problem rather than to wait to confer with others about the situation.
• I do not procrastinate when there is a job to be done.
• I am not afraid to take action when necessary.
• I take steps to prepare for the start of the project.

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 take responsibility for things that go wrong
• You make others feel enthusiastic about your work
• You are ready to offer help
• You delegate tasks effectively

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 show by your actions that you trust in the positive intentions of others.
• You build open and trusting relationships.
• You are gracious and professional in your interactions with others.
• You contribute to a positive and fun work environment.
• You visibly support and encourages diversity in style and background.

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.