Vision- 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.

Vision

• Expresses the Company vision in a way that is easily understood and adopted by employees.
• Behaves in a way that is consistent with business values & code of conduct
• Clearly articulates a vision for his/her work and inspires others to support it
• Communicates the vision and strategy of [Company]
• Persuades others to follow the Company's vision.

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

Comments:

Self Management

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

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

Comments:

Goals

• Makes sure that team members have a clear idea of our group's goals.
• Establishes and documents goals and objectives.
• Goal Setting
• Makes sure that I have a clear idea of our group's goals.
• Understands & contributes to development of strategic goals.

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

Comments:

Regulatory/Compliance

• Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
• Keeps informed of various regulations and procedures.
• Creates and maintains necessary regulatory documentation.
• Ensures regulations are followed as required.
• Ensures the company meets legal requirements/standards regarding employees.

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

Comments:

Customer Focus

• Able to handle difficult customers.
• Satisfies customer needs.
• Follows up with any unanswered questions from the customer.
• Makes sure their interests are aligned with the customer's interests.
• Engages with customers on multiple levels.

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.