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

• Committed to undertaking the implementation of the strategic vision.
• Focuses subordinates' work on critical aspects of the vision.
• Charts a bold course for the department's rapid evolution and expansion.
• Encourages employees to prioritize activities that contribute to the vision.
• Aligns subordinates' work with the vision's critical priorities.

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

Comments:

Self Management

• 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.
• Does not allow own emotions to interfere with the performance of others.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Steps away from a situation to process appropriate response.

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

Comments:

Goals

• Participates in the setting of departmental goals.
• Clearly defines challenging but attainable goals.
• Establishes and documents goals and objectives.
• Maintains a clear overview of each goal's requirements and deadlines.
• Communicates to staff the importance of each goal letting them know of the priorities.

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

Comments:

Regulatory/Compliance

• Explains regulations and procedures to others as required.
• Maintains a compliance data recordkeeping system.
• Uses operational compliance reports to evaluate the effectiveness of internal processes.
• Develops dashboards that visualize compliance metrics for internal and external stakeholders.
• Observes, monitors and coordinates compliance activities.

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

Comments:

Customer Focus

• Attends to the customer's needs in addition to the specific needs of the project.
• Celebrates customer wins and expresses appreciation for their loyalty or feedback.
• Makes customer's needs a top priority.
• Ensures communication with customers is honest and transparent.
• Prepares contingency plans for potential service disruptions that could impact customer satisfaction.

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.