Time Management - 360 Degree Feedback Survey Sample #2

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Time Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Completes tasks ahead of schedule.
Prioritizes tasks to identify immediate and long-term objectives.
Keeps and maintains a To-Do list.
Focuses on tasks that have high priority.
Leaves time in the schedule for unplanned contingencies.
What are your suggestions for how can make improvements in Time Management?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Is creative and inspirational.
Adds value to the department/organization.
Develops solutions to challenging problems.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
What are your suggestions for how can make improvements in Creativity?
Action	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Does whatever it takes (within reason) to get the job done.
Gets the job done.
Is not afraid to take corrective action when necessary.
Effectively makes decisions
Makes effective decisions, even when under pressure.
What are your suggestions for how can make improvements in Action?
Cultural Awareness	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Respects others regardless of age, race, gender, nationality, or disability.
Treats others with dignity and respect.
Shows respect in daily interactions
Fosters a diverse workforce free from discrimination and harassment.
Values the opinions of diverse groups and individual.
What are your suggestions for how can make improvements in Cultural Awareness?
Analytical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Asks the "right" questions to size up or evaluate situations.
Actively seeks constructive feedback from others.
Uses appropriate techniques to solve problems.
Analyzes data and information from several sources and arrives at logical conclusions.
Identifies the root cause of a problem.
What are your suggestions for how can make improvements in Analytical?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Prepares for unexpected contingencies.
Goes above and beyond the stated goals.
Immediately works to complete goals well before their deadline.
Takes action without being asked.
What are your suggestions for how can make improvements in Initiative?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Bounces back from daily crisis, disappointments and frustrations.
Assesses current capabilities before committing to new requests from customers.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Can multi-task while performing all of their other responsibilities and activities.
What are your suggestions for how can make improvements in Juggling Multiple Responsibilities?
Excellence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Produces high quality work.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
What are your suggestions for how can make improvements in Excellence?
Customer Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Ensures all customer commitments and requirements are met or exceeded.
Does not hesitate to address customer concerns or complaints.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Develops strong customer relationships.
...friendliness and courtesy
What are your suggestions for how can make improvements in Customer Focus?
Empowering Others	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Allows individuals to be responsible for their decisions.
Distributes the workload to subordinates.
Encourages employees to solve problems on their own.
Avoids micromanaging their employees.
Encourages others to obtain necessary skills and training.
What are your suggestions for how can make improvements in Empowering Others?
Conflict Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Tries to understand others' point of view before making judgments
Deals effectively with employee grievances.
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
What are your suggestions for how can make improvements in Conflict Management?
Teamwork	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Facilitates team discussions and problem-solving
Provides assistance and support to other team members when needed
Fosters respect and understanding among team members
Creates a culture that fosters and values collaboration.
Act as an effective team player
What are your suggestions for how can make improvements in Teamwork?

61. Strengths
    
    
    
62. Areas for Development
    
    
    
63. Please give any final comments or suggestions for 's assessment.