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360 Degree Feedback Sample 10


ABC Global 360-Degree Feedback



Rater:
You are providing feedback to:

Instructions

You have been asked to evaluate yourself as part of a 360-degree developmental evaluation process. Other employees will also provide you with feedback. In this manner, you will be provided with a comprehensive, multi-perspective view of your performance. The end goal is to provide you with feedback so as to allow you to improve your 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, leave it blank and go on to the next item. You do not have to complete entire questionnaire in one sitting. To save your data, press the SUBMIT button at the bottom of the form. You can re-access the survey questionnaire later by clicking on the link provided to you in the email message you received. You are able to return to the survey and enter/edit data as often as needed during the data collection period (_____ th - _____th).


Job Skills

Client Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Ensures client commitments and requirements are met or exceeded
  1. Interacts with clients to define roles, expectations, and responsibilities
  1. Looks for opportunities that have a positive impact on Clients
  1. Obtains feedback to ensure client needs are being met
  1. Promotes, implements, maintains and enhances relationships with clients
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Accountability

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Accepts accountability for results
  1. Can be counted on to do what they say they are going to do
  1. Develops goals and establishes objective measures of success
  1. Holds team accountable to meeting goals
  1. Keeps their word and does what they say they will do
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Achievement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Accepts setbacks and challenges as improvement opportunities
  1. Accomplishes goals on schedule and under budget
  1. Demonstrates a well-organized and timely approach to achieve desired results
  1. Sets high standards in their performance
  1. Systematically works to improve the organization
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Excellence

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Coordinates all department activities into a cohesive team effort
  1. Willing to do whatever it takes-not afraid to have to put in extra effort
  1. Can be counted on to add value wherever they are involved
  1. Demonstrates the functional or technical skills necessary to do their job
  1. Takes a lot of pride in their work
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Decision Making

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Aware of his/her own skills and abilities
  1. Focuses attention on treating the causes of problems rather than simply addressing the symptoms
  1. Makes decisions that are based on available facts, existing constraints, and probable outcomes
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Teamwork

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks
  1. Creates a culture that fosters and values collaboration
  1. Partners with people from other work units to improve overall performance
  1. Promotes a team spirit within and outside department; partners with other groups
  1. Shares pertinent information with all members of the team
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Empowering Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Allows subordinates to use their own methods and procedures
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions
  1. Tells subordinates what to do, not how to do it
  1. Encourages employees to solve problems on their own
  1. Solicits input from others to make informed decisions
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Strategic Focus

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Communicates goals and objectives to employees
  1. Analyzes the best practices and lessons learned from other organizations
  1. Understands & contributes to development of strategic goals
  1. Analyzes global issues/problems that are having a large impact the Company
  1. Solicits and engages diverse groups in organizational processes
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Leadership

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Communicates with others how they contribute to and support the Company's mission
  1. Demonstrates leadership and courage in critical situations
  1. Gives direct, constructive, and actionable feedback
  1. Holds others accountable for their actions
  1. Motivates others to work together toward common objectives
  1. Recognizes and rewards employees for their accomplishments
  1. Sets clear goals and objectives for subordinates
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Developing Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Assesses employees' developmental needs
  1. Creates opportunities for professional development
  1. Facilitates employee training when implementing new programs or systems
  1. Helps to coach other employees
  1. Recognizes and celebrates accomplishments of others
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Responsible

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Takes personal responsibility for results
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example
  1. Does what they say they are going to do
  1. Takes ownership and responsibility for future direction of organization
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Integrity

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Communicates an understanding of the other person's interests, needs and concerns
  1. Is a person you can trust
  1. Conducts all dealings in an honest and upfront manner
  1. Does what was promised
  1. Establishes relationships of trust, honesty, fairness, and integrity
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Interpersonal Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Able to work with individuals at all levels of the Company
  1. Demonstrates willingness to work with others
  1. Expresses ideas in an appropriate manner to overcome resistance, complaints, and frustration from others
  1. Listens to others, withholding judgment, and comes across as open to all viewpoints
  1. Provides resources to enable individuals to develop themselves
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Cultural Awareness

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Able to understand others' points of view
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems
  1. Addresses the unique interests, needs, and concerns of employees
  1. Seeks out different viewpoints and benefits from different perspectives
  1. Values the opinions of diverse groups and individuals
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.

Continual Improvement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Investigates the root causes of problems
  1. Looks for ways to improve work processes and procedures
  1. Open to the suggestions from others
  1. Perseus learning that will enhance job performance
  1. Keeps current with new technology
If you were to make improvements in the area listed above, which item do you think
should be emphasized most over the next year in order to improve their performance.
Improvement needed in number:
Please offer suggestions on how this can be improved.



Open-Ended Comments

Considering your comments, please answer the following:

Your greatest strengths as demonstrated in this past year
Advice or suggestions about what you could consider doing differently to be even more successful in your role?

Are there any final comments you would like to add before concluding this 360-Feedback survey.