Attitude - 360 Degree Feedback Survey Sample #10

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.

Attitude

• Contributes to a positive work environment.
• Works to eliminate unnecessary work or barriers that get in others' way.
• Is gracious and professional in their interactions with others.
• Treats all people fairly and with respect.
• Builds open and trusting relationships.

If [Participant Name] were to make improvements in Attitude, what are your suggestions for how he/she can improve this?

Analytical

• Uses appropriate techniques to solve problems.
• Implements data validation techniques and methods.
• Balances risks and costs with the rewards and probabilities of success when decisions.
• Identifies the root cause of a problem.
• Selects the appropriate techniques for analysis.

If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Technical

• Willingly shares information and expertise; sought out as resource by others
• Willingly shares his/her technical expertise; sought out as resource by others
• Knows how to produce high quality products/work.
• Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
• Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.

If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?

Interpersonal Skills

• Comes across as credible, knowledgeable and sincere
• Offers praise to colleagues who have successfully completed major projects.
• Able to work with individuals at all levels of the Company.
• Maintains a high degree of honesty and integrity.
• Is well respected in the department.

If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

Planning

• Anticipates obstacles and ways to overcome them.
• Anticipates resources needed to successfully implement a plan or project.
• Reduces uncertainty in the department through clear planning and schedules.
• Anticipates challenges and has plans to overcome them.
• Identifies resource requirements that may impact the development of the 5-year plan.

If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.