Self-Management - 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.

Self Management

• Uses patience and self-control in working with customers and associates.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Consciously controls own negative emotions in order to keep team morale up.
• Does not allow own emotions to interfere with the performance of others.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.

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

Comments:

Emotional Intelligence

• Accurately perceives the emotional reactions of others.
• Is able to control their own emotions.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Is able to express themselves clearly.
• Able to understand others' points of view.

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

Comments:

Analytical

• Selects the appropriate techniques for analysis.
• Prioritizes various actions to be taken when solving a problem.
• Analyzes issues and reduces them to their component parts.
• Uses appropriate techniques to solve problems.
• Balances risks and costs with the rewards and probabilities of success when decisions.

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

Comments:

Goals

• Makes sure that team members have a clear idea of our group's goals.
• Goal Setting
• Understands & contributes to development of strategic goals.
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Makes sure that I have a clear idea of our group's goals.

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

Comments:

Commitment To Result

• Creates a sense of urgency among the store team members to complete activities, which drive sales.
• Coordinates all department activities into a cohesive team effort.
• Willing to do whatever it takes-not afraid to have to put in extra effort.
• Able to focus on a task even when working alone.
• Committed to the team.

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.