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

• Persuades others to follow the Company's vision.
• Communicates the vision and strategy of [Company]
• Creates a positive vision of the future for the Company.
• Communicates a vision of where the Company needs to be in the future.
• Demonstrates consistency between words and actions

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

Comments:

Self Management

• Uses patience and self-control in working with customers and associates.
• Steps away from a situation to process appropriate response.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Does not allow own emotions to interfere with the performance of others.
• Analyzes interpersonal problems instead of reacting to them.

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

Comments:

Goals

• Conducts timely follow-up; keeps others informed on a need to know basis.
• Makes sure that team members have a clear idea of our group's goals.
• Goal Setting
• Achieves goals.
• Sets high expectations and goals; encourages others to support the organization.

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

Comments:

Regulatory/Compliance

• Complies with trade agreements affecting international companies.
• Creates and maintains necessary regulatory documentation.
• Keeps track of changes in legislation affecting regulatory compliance.
• Understands the applicable regulations and laws that impact our business.
• Is aware of federal and local laws affecting employees.

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

Comments:

Customer Focus

• Meets with customers on a regular basis.
• Addresses customer complaints immediately.
• Actively listens to concerns from customers.
• Provides excellent service to customers.
• Follows up with any unanswered questions from the customer.

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.