360 Degree Feedback Example for Peers

Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going 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.

Please ensure that your submission is made between . The survey will only be available during these dates.

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Communication Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Ensures comprehension during conversations or group presentations.
Receives and answers questions - on the spot. S/he has a willingness to address the tough questions.
Provides the reasoning behind choices and actions.
Keeps the supervisor informed about achievements and milestones.
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.
What are your suggestions for how [Participant Name] can make improvements in Communication Skills?
Continual Improvement	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand and learn new job skills.
What are your suggestions for how [Participant Name] can make improvements in Continual Improvement?
Punctuality	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Arrives to meetings on time.
Invoices clients on a timely basis.
Conducts appointments at scheduled start time.
Responds to requests for information in a timely manner.
Starts meetings on time.
What are your suggestions for how [Participant Name] can make improvements in Punctuality?
Attitude	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Contributes to a positive work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Treats all people fairly and with respect.
What are your suggestions for how [Participant Name] can make improvements in Attitude?
Analytical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Understands how to develop critical and analytical thinking.
Applies critical and analytical thinking to the situation.
Models future customer behavior from previous trends.
Ensures that information is current and up-to-date.
Identifies discrepancies and inconsistencies in reports.
What are your suggestions for how [Participant Name] can make improvements in Analytical?
Initiative	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Expands the offerings of the department by working evenings and weekends.
Goes above and beyond the stated goals.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Capitalizes on opportunities as they become available.
What are your suggestions for how [Participant Name] can make improvements in Initiative?
Juggling Multiple Responsibilities	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Keeps track of multiple assignments and deadlines.
Coordinates the work of a team by assigning tasks to other team members.
What are your suggestions for how [Participant Name] can make improvements in Juggling Multiple Responsibilities?
Trustworthy	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates an understanding of the other person's interests, needs and concerns.
Consistently keeps commitments.
Takes ownership, delivers on commitments
Builds and maintains the trust of others.
Delivers on promises made.
What are your suggestions for how [Participant Name] can make improvements in Trustworthy?
Interpersonal Skills	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Easily approachable.
Uses tact, compassion, and sensitivity in interactions with others.
Builds a strong rapport with co-workers.
Comes across as credible, knowledgeable and sincere
Respects other members of the team/department.
What are your suggestions for how [Participant Name] can make improvements in Interpersonal Skills?
Trustworthy	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Demonstrates a sense of responsibility and commitment to public trust.
Delivers on promises made.
Is trustworthy; is someone I can trust.
Takes care to maintain confidential information.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
What are your suggestions for how [Participant Name] can make improvements in Trustworthy?
Vision	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Diagnoses issues and envisions solutions.
Supports a culture of the department that is willing to implement the company's vision.
Creates a crystal-clear vision for where the department needs to be in the next 12 months.
Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.
Is adept at identifying underlying problems within the organization and is capable of envisioning innovative and effective solutions to address these issues.
What are your suggestions for how [Participant Name] can make improvements in Vision?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for [Participant Name Here]'s assessment.