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

• Steps away from a situation to process appropriate response.
• Analyzes interpersonal problems instead of reacting to them.
• Uses patience and self-control in working with customers and associates.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.

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

Comments:

Emotional Intelligence

• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Is able to manage their own emotions.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Able to understand others' points of view.
• Accurately perceives the emotional reactions of others.

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

Comments:

Analytical

• Selects the appropriate techniques for analysis.
• Balances risks and costs with the rewards and probabilities of success when decisions.
• Identifies problems and issues needing resolution.
• Identifies opportunities for progress and innovation.
• Implements data validation techniques and methods.

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

Comments:

Goals

• Conducts timely follow-up; keeps others informed on a need to know basis.
• Goal Setting
• Understands & contributes to development of strategic goals.
• Achieves goals.
• Sets high expectations and goals; encourages others to support the organization.

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

Comments:

Commitment To Result

• Encourages commitment in others to obtain results.
• Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• Maintains persistence and dedication to achieving results.
• 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.