Vision- 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Vision

• Designs strategies that mirror the organization's unified vision.
• Creates a clear and inspiring vision statement that outlines the desired future for the company.
• Builds a strategic vision by analyzing the company's current position and the market environment, identifying strengths, weaknesses, opportunities, and threats.
• Designs and implements a forward-looking vision for the company.
• Creates a crystal-clear vision for where the department needs to be in the next 12 months.

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

Comments:

Self Management

• Consciously controls own negative emotions in order to keep team morale up.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Analyzes interpersonal problems instead of reacting to them.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• Uses patience and self-control in working with customers and associates.

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

Comments:

Goals

• Achieves established goals.
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Makes sure that I have a clear idea of our group's goals.
• Sets high expectations and goals; encourages others to support the organization.
• Understands & contributes to development of strategic goals.

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

Comments:

Regulatory/Compliance

• Coordinates the execution of compliance strategies across departments.
• Is aware of the documents and reports needed to maintain compliance with regulations.
• Responds promptly to inquiries from regulatory bodies.
• Periodically assesses the effectiveness of regulatory/compliance programs.
• Is professional and courteous in interactions with auditors and regulators.

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

Comments:

Customer Focus

• Puts customer's needs first.
• Maintains positive customer relationships.
• Does not hesitate to address customer concerns or complaints.
• Uses feedback from the customer to help improve the customer's experience.
• Is pro-active in dealing with customers and addressing their needs.

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.