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

• Is gracious and professional in their interactions with others.
• Visibly supports and encourages diversity in style and background.
• Contributes to a positive and fun work environment.
• Contributes to a positive work environment.
• Works to eliminate unnecessary work or barriers that get in others' way.

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

Analytical

• Balances risks and costs with the rewards and probabilities of success when decisions.
• Analyzes issues and reduces them to their component parts.
• Uses appropriate techniques to solve problems.
• Identifies problems and issues needing resolution.
• Analyzes data and information from several sources and arrives at logical conclusions.

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

Technical

• Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
• Seeks information from others as needed.
• Demonstrates mastery of the technical competencies required in his/her work.
• Is knowledgeable of procedures or systems necessary for the job.
• Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.

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

Interpersonal Skills

• Is trusted by peers and co-workers; others are willing to confide in him/her
• Comes across as credible, knowledgeable and sincere
• Uses tact, compassion, and sensitivity in interactions with others.
• Uses knowledge and charisma rather than position, power, or coercion to influence others
• Expresses appreciation of other's work.

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

Planning

• Sets up and monitors timeframes and plans
• Prioritizes plans based on a cost/benefit analysis.
• Assesses the potential impact of changes to the strategic plan.
• Develops strategic plans for ensuring competitiveness in the marketplace.
• Able to identify the needs of the department before a major change.

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.