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

• Charts a bold course for the department's evolution.
• Inspires employees to support the departmental vision.
• Diagnoses issues and envisions solutions.
• Designs and implements a forward-looking vision for the company.
• Concentrates employees' tasks on essential parts of the vision.

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

Comments:

Self Management

• 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.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.

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

Comments:

Goals

• Establishes and documents goals and objectives.
• Sets high expectations and goals; encourages others to support the organization.
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Achieves goals.
• Achieves established goals.

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

Comments:

Regulatory/Compliance

• Conducts necessary risk assessments.
• Creates and administers training initiatives on compliance and regulations.
• Uses compliance reports to evaluate the effectiveness of compliance initiatives identifying areas of risk.
• Keeps detailed records of compliance measures.
• Ensures the company is in compliance with industry specifications, standards, and applicable laws.

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

Comments:

Customer Focus

• Maintains up-to-date information regarding customer products.
• Creates an environment that enables customers to receive excellent service.
• Engages with customers on multiple levels.
• Responds to the needs of the customer.
• Anticipates and proactively resolves issues that the customer may face.

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.