Performance - 360 Degree Feedback Survey Sample #9

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.

Performance	Definite Strength	Meets Standards	Needs Development	N/A
Sets a high standard for job performance.
...Overall Performance
Has great overall performance
Effectively organizes resources and plans
Able to organize work.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Sets specific and measurable goals for others and follows through to completion.
Assesses employee performance against defined standards.
Adjusts performance goals as needed to meet the demands of the department/organization.
Examines the most effective ways for accomplishing goals.
Aligns individual and team goals with the organization's goals and objectives.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
Encourages risk taking and experimentation to improve performance
Completes work on time
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes a large volume of work.
Administrative Skill	Definite Strength	Meets Standards	Needs Development	N/A
Strong organizational skills to keep the workspace and department in order
Enthusiastic about taking on challenging projects.
Has strong technical/computer skills.
Completes reports on-time.
High attention to detail.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Does not become flustered by deadlines and timelines.
Prioritizes new tasks according to their relative importance.
Leaves time in the schedule for unplanned contingencies.
Sets clearly defined goals.
Focuses on tasks that have high priority.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
Maintains knowledge of current trends in the industry.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Identifies potential problems before they become critical incidents.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Implements long-term solutions to problems.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Communications with department leadership
Communicates effectively with colleagues and customers
Presents issues, ideas, and strategy concisely and clearly.
Delivers information in a clear, concise, and logical manner.
Listens to others' points of view with an open mind
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
Able to adapt to new situations.
Implements changes as a result of having listened to employees
Effective in incorporating new ideas.
Adapts to new organizational structures, policies, or procedures.
Is open to alternative ways to accomplish goals
Others	Definite Strength	Meets Standards	Needs Development	N/A
Works effectively with people from other departments.
Includes others in the decision making processes.
Helpful
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.