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

• Develops action plans to align his/her work with the goals of the organization
• Works to support the strategy of [Company]
• Communicates a vision of where the Company needs to be in the future.
• Leads employees in new directions.
• Creates a positive vision of the future for the Company.

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.
• Consciously controls own negative emotions in order to keep team morale up.

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

Comments:

Goals

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

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

Comments:

Regulatory/Compliance

• Maintains a state of readiness to address new and changing regulations and procedures.
• Understands the applicable regulations and laws that impact our business.
• Follows all safety regulations and procedures.
• Keeps informed of various regulations and procedures.
• Performs audits regularly, or without notice, to ensure proper compliance with regulations.

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

Comments:

Customer Focus

• Develops strong customer relationships.
• ...friendliness and courtesy
• Consistently models positive customer service attitudes.
• Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
• Ensures all customer commitments and requirements are met or exceeded.

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.