360 DEGREE EVALUATION FORM

You have been selected to provide feedback to [Employee Name Here]. 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.

In responding to the assessment form, please think about your experiences working with this individual during the last ________ months. Your responses will be merged with other’s feedback and presented to [Employee Name Here] to guide them in their on-going development. Comments will be shared anonymously as written.

Accountability Never Sometimes Always1. Can be counted on to do what they say they are going to do.

2. Is aware of problems or issues that may affect the organization.

3. Informs supervisor of progress without having to be asked about it.

4. Keeps supervisor informed of recent events.

5. Able to effectively limit risk-taking while maintaining optimal performance.

6. Defines roles, rights, and responsibilities of employees.

7. Tackles issues head on and finds solutions.

8. Takes ownership of mistakes and learns from them.

9. Encourages employees to set challenging but achievable goals.

Achievement Never Sometimes Always11. Accepts setbacks and challenges as improvement opportunities

12. Completes work to a high technical standard

13. Completes work to given time frame and to budget

14. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.

15. Set high standards in their performance

16. Systematically works to improve the organization

Adaptability Never Sometimes Always17. Learns from personal experiences and/or mistakes.

18. Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.

19. Recognizes and implements changes to enhance efficiency and effectiveness.

20. Works effectively in dynamic and changing work environments.

21. Able to quickly learn new ways of performing their job.

22. Able to work within uncertain environments.

23. Able to work effectively with new people and new teams.

24. Is proactive and takes steps to prepare for changes in the workplace.

25. Integrates information from a variety of sources to develop new and creative solutions.

26. Adjusts behaviors and language in dealing with individuals from other cultures or customs.

Administrative Skills Never Sometimes Always27. Completes reports on-time.

28. Enthusiastic about taking on challenging projects.

29. Implements and uses performance measures.

30. Takes responsibility for decisions.

Attitude Never Sometimes Always

31. Builds open and trusting relationships.

32. Contributes to a positive and fun work environment.

33. Shows by their actions that they trust in the positive intentions of others.

34. Treats all people fairly and with respect.

35. Works to eliminate unnecessary work or barriers that get in others' way.

Client Focus Never Sometimes Always36. Ensures client commitments and requirements are met or

exceeded

37. Obtains feedback to ensure client needs are being met.

38. Looks for opportunities that have a positive impact on Clients.

39. Interacts with clients to define roles, expectations, and responsibilities.

40. Promotes, implements, maintains and enhances relationships with clients.

41. Anticipates problems that the client may encounter.

Commitment To Result Never Sometimes Always42. Coordinates all department activities into a cohesive team

effort.

43. Creates and maintains a store environment that welcomes customers by providing an appealing, interactive and exciting store.

44. Looks for opportunities to maximize sales by making merchandise presentation customer friendly and accessible.

45. Willing to do whatever it takes-not afraid to have to put in extra effort.

Communication Skills Never Sometimes Always

46. Able to demonstrate persuasiveness in pursuit of objectives.

47. Addresses issues of key importance to stakeholders.

48. An effective listener who is responsive to information needs.

49. Conveys ideas confidently and succinctly.

50. Demonstrates clear verbal and written communication skills

51. Shares important information with others.

52. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.

53. Listens attentively and without interrupting to team members and customers

54. Responds to questions with accurate and complete answers

55. Able to use multiple methods of communication.

Conflict Management Never Sometimes Always56. Deals effectively with employee grievances.

57. Discusses conflict situations with supervisor.

58. Assists team members by helping them see the other point of view.

59. Helps employees to think through alternative ways to resolve conflict situations.

60. Tries to understand others' point of view before making judgments

Decision Making Never Sometimes Always61. Asks for additional information when making critical

decisions, rather than operate blindly

62. Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action

63. Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions

64. Effectively prioritizes and organizes themselves and their workload.

65. Makes decisions that positively impact team/departmental performance

66. Makes effective, practical decisions based on factual information.

67. Makes sound and timely decisions.

68. Evaluates short and long term consequences when making decisions.

69. Is not afraid to take risks that may yeild significant results.

70. Aware of his/her own skills and abilities.

71. Is confident in the decisions they make.

72. Takes charge when in charge.

Emotional Intelligence Never Sometimes Always73. Is able to control their emotions.

74. Accurately perceives the emotional reactions of others.

75. Is able to express clearly.

76. Recognizes the meanings of emotion and their relationships to various issues.

Empowering Others Never Sometimes Always77. Encourages employees to solve problems on their own.

78. Distributes the workload to subordinates.

79. Allows individuals to be responsible for their decisions.

80. Sets clear goals for others to accomplish.

81. Encourages others to obtain necessary skills and training.

82. Removes obstacles to the success of others.

Establishing Focused Direction Never Sometimes Always83. Aligns the department's goals with the goals of the

organization.

84. Stays focused even when under pressure and stress.

85. Excellent at managing time.

86. Makes sure that employees understand how their work relates to organizational goals.

87. Helps guide employees with prioritizing tasks.

88. Maintains self-control when personally criticized.

Flexibility Never Sometimes Always89. Effective in incorporating new ideas.

90. Encourages others to adopt new procedures.

91. Implements changes as a result of having listened to employees

92. Is open to alternative ways to accomplish goals

93. Can handle changes without complaining.

94. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.

95. Adapts to new technology and systems.

Interpersonal Skills Never Sometimes Always96. Successfully resolves conflicts and grievances to a win-win

solution.

97. Adapts management style to meet the needs of the individual or situation.

98. Coaches others how to communicate with influence and persuasion.

99. Coaches team on how to offer alternative solutions in order to help customers achieve desired results

100. Comes across as credible, knowledgeable and sincere

101. Creates an atmosphere that supports the open expression of ideas

102. Demonstrates awareness of how specific actions, or inaction, could affect others

103. Effectively manages conflicts by dealing with them directly and immediately

104. Encourages team and team members to seek and respond to constructive criticism

105. Gives honest feedback and suggestions for improvement.

106. Is a role model for others

107. Is trusted by peers and co-workers; others are willing to confide in him/her

108. Keeps and maintains confidentiality and trust.

109. Positively impacts his/her team's morale, sense of belonging, and participation

110. Remains poised and rational in debates, seeking an understanding of all sides

111. Seeks input from key people who should be involved in, or will be affected by, decisions.

112. Uses knowledge and charisma rather than position, power, or coercion to influence others

113. Values the opinions of others.

Leadership Never Sometimes Always114. Highly effective supervisor.

115. Maximizes the efforts of all team members.

116. Demonstrates leadership and courage in critical situations.

117. Is a leader within the department.

118. Effectively leads others.

119. Able to lead the organization.

120. Able to align manpower, design work, an allocate tasks to achieve goals.

121. Able to conceptualize, organize, staff and manage a program with results.

122.Motivates and challenges employees to attain a shared vision.

123.Coaches others and prepares them for current and future business demands.

124. Critiques own performance as a means of self-improvement and initiates self-development activities

125. Maintains high ethical standards.

126. Gives direct, constructive, and actionable feedback.

127. Guides individuals toward goal achievement using negotiation, teamwork/collaboration, motivation and staff development skills.

128. Influences others on his/her team to reach goals, improve performance, and try new things

129. Inspires a shared vision of being the best.

130. Looks for opportunities to enhance contributions to the bottom line.

131. Improves work quality for the team.

Management Never Sometimes Always132. Delegate tasks effectively

133. Keep staff informed about what is happening in the organization

134. Makes you feel enthusiastic about your work

135. Sets an example for others to follow

136. Manages staff and prepares work schedules appropriately.

137. Assigns specific duties appropriately.

138. Actively listens for feedback from subordinates.

139. Uses feedback to modify duties, tasks, requirements, and goals when appropriate.

140. Keeps subordinates informed.

Passion To Learn Never Sometimes Always141. Actively seeks to learn by asking questions and listening to all store associates.

142. Constantly enhances product knowledge through experimentation and play.

143. Critiques own performance and learn from experience as a source of continuous improvement.

144. Demonstrates through personal behavior the commitment to high standards of performance.

145. Is motivated by the desire to be "the best".

Persuasion and Influence Never Sometimes Always146. Able to express own goals and needs.

147. Attempts to persuade others rather than simply control them.

148. Understanding what others need.

149. Obtains the support of others to accomplish goals.

150. Have excellent influencing/negotiating skills.

151. Persuades others to consider alternative points of view.

152. Prepares influential and convincing reports.

153. Takes a long-term view and acts as a catalyst and champion of change.

154. Persuades others to perform tasks that are viewed as difficult or undesirable.

Punctuality Never Sometimes Always155. Starts the workday when scheduled.

156. Avoids making personal phone calls during working hours.

157. Starts meetings on time.

158. Arrives to meetings on time.

159. Maintains an efficient schedule of activitis.

160. Conducts appointments at scheduled start time.

161. Invoices clients on a timely basis.

162. Responds to requests for information in a timely maner.

Responsible Never Sometimes Always163. Works in a way that makes others want to work with her/him.

164. honest

165. sets a good example

166. Acts as a resource without removing individual responsibility.

167. Behavior is ethical and honest.

Strategic Focus Never Sometimes Always168. Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.

169. Focuses attention on treating the causes of problems rather than simply addressing the symptoms.

170. Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.

171. Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.

172. Understands & contributes to development of strategic goals.

TeamworkNever Sometimes Always

173. Act as an effective teamplayer

174. Actively participates as a team member

175. Applies knowledge of team behavior to help achieve organizational goals and objectives.

176. Builds consensus and shares relevant information.

177. Creates a culture that fosters and values collaboration.

178. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.

179. Coaches team members

180. Creates opportunities to learn with other team members

181. Emphasizes the importance of getting individuals to work as a team

182. Facilitates team discussions and problem-solving

183. Fosters respect and understanding among team members

184. Models excellent team behavior; recognizes "out-of-bounds" behavior and addresses as appropriate.

185. Promotes a team spirit within and outside department; partners with other groups.

A. What changes should _______________ make in order to develop professionally?

B. What areas need improvement?

C. Do you have any final comments for ______________?

Yes No Please explain?

D. What do you like best about working with _______________?