•
•
•
•
hr-survey.com

360 Degree Feedback Sample 5


ABC Global 360-Degree Feedback


Rater:
You are providing feedback to:

Instructions

This questionnaire format allows you to collect comments on each item.
You have been selected to provide feedback for the manager listed above. Your feedback is an important part of our company's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

Please provide feedback using the form below. If you are not able to respond to an item, leave it blank and go on to the next item. When you have finished, press the SAVE or COMPLETED button at the bottom of the form.

Note: When you enter text comments into the boxes below, please focus your comments on work behaviors and styles. The comments that you type will be viewed by the individual receiving the feedback. Do not enter personal information about yourself unless you want this individual to know you are the author of these comments.

To what extent does exhibit the following ...

    Read the statements below.
  1. Able to lead the department in on-going projects regarding the recent re-organization.
    Assigns critical tasks to competent individuals; Keeps the team focused on issues that need resolved.
    Please feel free to provide any comments to help explain your answer.


  2. Learns from personal experiences and/or mistakes and integrates experience to cope with new or untried events.
    Able to develop new solutions to current problems; Focuses on improvements.
    Please feel free to provide any comments to help explain your answer.


  3. Empowers others to achieve results and holds them accountable for actions.
    Conducts regular performance appraisals; Establishes performance goals for subordinates; Makes sure team members have the necessary tools to perform their jobs effectively.
    Please feel free to provide any comments to help explain your answer.


  4. Views problems from a business perspective, opportunity, investment, risks, and anticipated results.
    Excellent quantitative problem solving skills; Understands how best to present complex data; Maintains a positive attitude even when faced with difficulties.
    Please feel free to provide any comments to help explain your answer.


  5. Keeps control of his/her feelings and behavior, even in high pressure situations.
    Successful in negotiating and getting others to change their view; Maintains a calm voice when confronting others.
    Please feel free to provide any comments to help explain your answer.


  6. Analyzes issues and reduces them to their component parts.
    Focuses on the problem and its possible solutions; Uses systematic approaches to solving complex workplace issues.
    Please feel free to provide any comments to help explain your answer.


  7. Identifies fresh approaches and shows a willingness to question traditional assumptions.
    Keeps an open mind when listening to the ideas of others; Able to ask appropriate and intelligent questions.
    Please feel free to provide any comments to help explain your answer.


    Recognize that your comments will be listed along with the comments from all other sources and provided to this employee. We will delete any information that will identify you as the source, unless you state that you want this employee to know that you provided these comments. Consider the following questions as you think about responses.

    The following Starter Questions are provided to help in trigger your feedback comments...

    1. In what ways has the colleague contributed to your business responsibilities, MBOs or personal goals? Is there anything that stands out in particular or specific examples worth mentioning?
    2. What were your disappointments relative to “misses” if any this year? Specific examples?
    3. What competencies were demonstrated at a higher than expected level? Examples?
    4. What competencies represent developmental opportunities? Examples?
    5. Any other thoughts?


    Greatest Strengths


    Areas for Development


    Additional comments, if any: