Strategic Insight- 360 Degree Feedback Survey Sample #9

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.

Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Anticipates business cycles and trends and makes adjustments in a timely manner.
Analyzes unique issues or problems impacting the Company.
Communicates vision for the department and company.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies potential problems before they become critical incidents.
Client Focus	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure client needs are understood by the team members.
Maintains strong relationships with clients.
Anticipates and proactively resolves issues that the client may face.
Makes sure team members understand the issues faced by the client.
Creates customized solutions for the client.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
Anticipates problems that the customer may encounter.
Identifies the core needs of the customer.
Uses customer feedback to help improve products and services.
Develops good rapport and trust with the customer.
Effectively troubleshoots customer issues.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
Actively seeks feedback from others.
Looks to others for input.
Seeks feedback to enhance performance.
Asks others for their ideas and opinions.
Is easy to approach with ideas and opinions.
Management	Definite Strength	Meets Standards	Needs Development	N/A
Is ready to offer help
Delegate tasks effectively
Sets an example for others to follow
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Persuasion and Influence	Definite Strength	Meets Standards	Needs Development	N/A
Attempts to persuade others rather than simply control them.
Understanding what others need.
Persuades others to consider alternative points of view.
Seeks to obtain consensus or compromise.
Able to express own goals and needs.
Decision Making	Definite Strength	Meets Standards	Needs Development	N/A
Does not lose sight of the big picture when making decisions
Regularly evaluates information before making important decisions.
Has a good rapport other people which is helpful in making decisions on the team.
Has enough self-control to avoid making impulsive decisions.
Carefully evaluates information before making an important decision.
Innovation	Definite Strength	Meets Standards	Needs Development	N/A
Fosters a creative and innovative work environment.
Solves problems with insight and understanding.
Offers constructive improvements to existing systems.
Encourages open communication to ensure that all proposals are considered.
Suggests new ideas at meetings.
Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
Determines which tasks are critical and which tasks are optional.
Can multitask while performing all of their other responsibilities and activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Ensures that assignments are prioritized according to the needs of the department/company.
Plans and organizes continuously while performing all other responsibilities and activities.
Interpersonal Skills	Definite Strength	Meets Standards	Needs Development	N/A
Effectively manages conflicts by dealing with them directly and immediately
Able to work with individuals at all levels of the Company.
Successfully resolves conflicts and grievances to a win-win solution.
Is trusted by peers and co-workers; others are willing to confide in him/her
Adapts management style to meet the needs of the individual or situation.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.