Bias for Action - 360 Degree Feedback Survey Sample #12

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.

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

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

Bias for Action

• Seeks and utilizes opportunities for continuous learning and self-development.
• Conveys a sense of urgency about addressing problems and opportunities
• Completes work on time
• Coach others to foster an environment which can adapt quickly and willingly to rapid change.
• Identifies ways to simplify work processes and reduce cycle times

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

Comments:

Cultural Awareness

• Open to learning about different cultures.
• Views diversity as a strength, not as an issue.
• Aware of their own cultural views.
• Recognizes individual and cultural differences.
• Seeks to reduce obstacles in communication that might arise from cultural differences.

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

Comments:

Innovation

• Finds creative ways to get things done with limited resources.
• Searches for opportunities and innovative ways to improve the organization.
• Creates a safe environment for idea-sharing.
• Fosters a creative and innovative work environment.
• Solves problems with insight and understanding.

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

Comments:

Co-worker Development

• Takes immediate action on poor performance
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Sets and clearly communicates expectations, performance goals, and measurements to others
• Gives others development opportunities through project assignments and increased job responsibilities
• Provides ongoing feedback to co-workers on their development progress

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

Comments:

Planning

• Adjusts and rearranges the schedule to maximize efficiency.
• Regularly makes plans for contingencies.
• Open to input from others into the plan for development of the strategic plan.
• Assesses the risks of various strategic plans.
• Develops strategic plans for ensuring competitiveness in the marketplace.

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.