360 Degree Feedback Sample 19

Rater: [Your Name]
You are providing feedback to: [Participant Name]

Instructions

You have been asked to evaluate as part of a 360-degree developmental evaluation process. Other employees will also provide with feedback. In this manner, they will be provided with a comprehensive, multi-perspective view of their performance. The end goal is to provide them with feedback so as to allow them to improve their performance, resulting in improved team performance, and organizational effectiveness.

Please provide feedback using the form below. If you are not able to respond to an item, select "Not Applicable" or 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 [Participant Name] exhibit the following ...

	Never or to a very small extent	Sometimes or to a less than average extent	Average	Often or to a large extent	Always or to a very great extent
Respects others and supports their professional development
Works effectively as a team member
Supports the professional development of others
Listens to employees
Effective in gaining commitment by persuasion
Able to communicate the vision of the organization
Shows employees how their job supports the organization
Understands the market factors that impact the organization
Seeks professional development opportunities
	Never or to a very small extent	Sometimes or to a less than average extent	Average	Often or to a large extent	Always or to a very great extent
Is strict about checking details
Follows up on suggestions of co-workers
Is open to constructive feedback
Effective in making decisions
Effective in communicating ideas and concepts
Gives other employees honest feedback
Incorporates feedback from others
Has a high standard of work
Works diligently toward the completion of goals
	Never or to a very small extent	Sometimes or to a less than average extent	Average	Often or to a large extent	Always or to a very great extent
Is open and approachable
Effective in analyzing data
Solves problems at the root cause
Identifies opportunities to achieve goals
Converts strategic plans into action
Aligns the goals of the department with the organization
Obtains "buy-in" from employees when making organizational changes
Maintains the confidentiality of others
Respected by other team members
	Never or to a very small extent	Sometimes or to a less than average extent	Average	Often or to a large extent	Always or to a very great extent
Open to the suggestions from others
Effective in building high performance teams
Communicates effectively in presentations
Has a high work ethic
Supports the use of advanced technology
Understands how organizational changes affect employees
Seeks collaboration and teamwork among departments and team members
Supports strategic goals
Acts as a coach and mentor
	Never or to a very small extent	Sometimes or to a less than average extent	Average	Often or to a large extent	Always or to a very great extent
Effective leader in stressful situations
Able to resolve employee conflicts
Looks for innovative ways to solve problems
Effective in planning and developing strategic objectives
Provides honest and truthful information to others
Provides assistance and support to other team members when needed
Facilitates learning opportunities for others
Is trustworthy
Shares the values of the organization
Encourages innovative thinking by others
Brings clarity to discussions

Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.



Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


Overall, how would you rate performance and why?

-Excellent -Good -Average -Poor

Other Comments:

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