Self-Management - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Edit this Survey

Would you like to edit this survey? Click here to begin.

Self Management

• Uses patience and self-control in working with customers and associates.
• Does not allow own emotions to interfere with the performance of others.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• Steps away from a situation to process appropriate response.
• Consciously controls own negative emotions in order to keep team morale up.

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

Comments:

Emotional Intelligence

• Able to understand others' points of view.
• Is able to control their own emotions.
• Is able to manage their own emotions.
• Accurately perceives the emotional reactions of others.
• Is attentive to emotional cues and interprets others' feelings correctly.

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

Comments:

Analytical

• Able to interpret and analyze data.
• Looks for patterns, trends, and relationships within the data.
• Establishes connections between different pieces of information to see the bigger picture.
• Uses a methodical approach to the understanding and resolving of problems.
• Has a solid grasp of basic research methodologies.

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
• Achieves established goals.
• Understands & contributes to development of strategic goals.
• Establishes and documents goals and objectives.

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

Comments:

Commitment To Result

• Committed to the team.
• Maintains persistence and dedication to achieving results.
• Willing to do whatever it takes-not afraid to have to put in extra effort.
• Coordinates all department activities into a cohesive team effort.
• Creates a sense of urgency among the store team members to complete activities, which drive sales.

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.