Self-Management - 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.

Self Management	Definite Strength	Meets Standards	Needs Development	N/A
Analyzes interpersonal problems instead of reacting to them.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Grasps new ideas, concepts, technical, or business knowledge.
Sets relevant learning objectives and goals.
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Pursues self-improvement through continual learning.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
Seeks feedback to enhance performance.
Open to the suggestions of others.
Asks others for their ideas and opinions.
Accepts the views of others.
Considers other's opinion and suggestions.
Attitude	Definite Strength	Meets Standards	Needs Development	N/A
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Challenges current procedures to develop other alternatives.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Works effectively during periods of change.
Willing to try new ideas.
Identifies new opportunities to achieve goals
Can handle changes without complaining.
Adapts to circumstances as needed.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Identifies ways to simplify work processes and reduce cycle times
Conveys a sense of urgency about addressing problems and opportunities
Encourages risk taking and experimentation to improve performance
Displays high energy and enthusiasm on consistent basis.
Motivates others to achieve or exceed goals
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Keeps and maintains a To-Do list.
Does not become flustered by deadlines and timelines.
Completes high-priority work within required timelines.
Sets clearly defined goals.
Focuses on tasks that have high priority.
Excellence	Definite Strength	Meets Standards	Needs Development	N/A
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Ensures compliance with safety regulations.
Is not afraid to question a potential safety issue observed in the workplace.
Committed to safety in the workplace.
Ensures that all supervisors are aware of regulatory and compliance measures.
Encourages others to work safely.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Communicates well with team members.
Works cooperatively with others to solve problems.
Provides assistance and support to other team members when needed
Encourages teamwork and collaboration.
Willingly share their technical expertise
Company	Definite Strength	Meets Standards	Needs Development	N/A
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Understands how decisions impact other business units beyond their immediate department of work group.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.

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.