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.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Analyzes interpersonal problems instead of reacting to them.
• Consciously controls own negative emotions in order to keep team morale up.
• 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

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

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

Comments:

Analytical

• Analyzes data and information from several sources and arrives at logical conclusions.
• Implements data validation techniques and methods.
• Identifies the root cause of a problem.
• Identifies problems and issues needing resolution.
• Selects the appropriate techniques for analysis.

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

Comments:

Goals

• Goal Setting
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Achieves goals.
• Makes sure that I have a clear idea of our group's goals.
• Achieves established goals.

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

Comments:

Commitment To Result

• Committed to the team.
• 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.
• Willing to do whatever it takes-not afraid to have to put in extra effort.
• Takes immediate action toward goals.

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.