Results Oriented - 360 Degree Feedback Survey Sample #12

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

• Holds others accountable for producing high quality work.
• Achieves performance benchmarks.
• Establishes benchmarks to be met when working on projects.
• Identifies what needs to be accomplished.
• Provides clear expectations for employees.

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

Comments:

Action

• Makes decisions confidently and stands by them.
• Will take action to address a problem rather than to wait to confer with others about the situation.
• Creates opportunities and then takes advantage of them.
• Avoids "Analysis Paralysis" through action.
• Overcomes obstacles that may impede progress on a task.

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

Comments:

Supervisory Skills

• Makes sure employees are accomplishing important objectives.
• Holds employees accountable for work assignments.
• Has a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
• Makes sure employees complete the work on time.
• Delegates assignments to employees according to seniority.

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

Comments:

Initiative

• Creates solutions to problems as soon as an incident occurs.
• Takes action to implement new changes in the policies and procedures.
• Engages with new customers immediately.
• Volunteers time and effort toward the completion of important goals.
• Acts quickly to address any issues or problems.

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

Comments:

Time Management

• Effectively delegates tasks to maximize the use of time.
• Regularly delivers results on-time.
• Provides accurate estimates for the amount of time needed to accomplish certain tasks.
• Outperforms others in productivity through effective time management.
• Uses a calendar effectively to keep track of when events or milestones are supposed to occur.

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.