Attitude - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

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Attitude

• Is self-confident and willing to take risks to advance important projects.
• Seeks input from others before making decisions, acknowledging the value of diverse perspectives.
• Engages with employees at every level in a warm, approachable manner.
• Participates actively in meetings, offering ideas with energy and genuine interest, not just obligation.
• Approachable and easy to talk to.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Analytical

• Considers both risks and costs alongside the potential benefits and success rates when making decisions.
• Collects relevant data and facts about a situation.
• Applies scientific and empirical methods to test hypotheses.
• Divides complex problems or tasks into components/parts for further analysis.
• Maintains precision when collecting and measuring data.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Juggling Multiple Responsibilities

• Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
• Assesses current capabilities before committing to new requests from customers.
• Determines which tasks are critical and which tasks are optional.
• Plans and organizes continuously while performing all other responsibilities and activities.
• Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Managing Risk

• Designs risk response activities that are proportionate to the level of risk.
• Tracks and monitors incidents that may increase the risk of adverse consequences.
• Identifies what actions the organization is willing to take.
• Uses data from the purchasing department to anticipate possible supply chain risks.
• Anticipates the consequences of different potential risk events.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Coaching

• Demonstrates that challenges are temporary and often lead to growth.
• Encourages employees to envision long-term possibilities and future success.
• Conducts regular performance appraisals and feedback.
• Helps employees accept negative feedback without becoming defensive
• Inquires about employee's accomplishments.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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