Strategic Insight- 360 Degree Feedback Survey Sample #11

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.

Strategic Insight

What does Strategic Insight mean?
It means that ...

• You adjust strategic plans based on insights gathered from different points of view.
• You work with others to develop insights into the resources and actions required to produce desired results.
• You understand how to strategically grow the business and increase customers.
• You identify root causes of problems.
• You create strategies that significantly benefit the Company.

To what extent does this person exhibit Strategic Insight?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Creativity

What does Creativity mean?
It means that ...

• You are creative and inspirational.
• You create a lot of new ideas.
• You add value to the department/organization.
• You are creative.
• You develop solutions to challenging problems.

To what extent does this person exhibit Creativity?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Self Management

What does Self Management mean?
It means that ...

• You do not allow own emotions to interfere with the performance of others.
• You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
• You analyze interpersonal problems instead of reacting to them.
• You analyze own reactions on the spot to ensure that communication does not appear to be driven by anger.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Commitment To Result

What does Commitment To Result mean?
It means that ...

• You are able to focus on a task even when working alone.
• You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• You encourage commitment in others to obtain results.
• You are committed to the team.
• You coordinate all department activities into a cohesive team effort.

To what extent does this person exhibit Commitment To Result?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Teamwork

What does Teamwork mean?
It means that ...

• You create opportunities to learn with other team members
• You share resources and information with the team.
• You demonstrate an understanding of other team member's viewpoints.
• You communicate a clear message that teamwork and collaboration are expected.
• I am committed to the success of the team.

To what extent does this person exhibit Teamwork?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.