Bias for Action - 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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Bias for Action

• Encourages risk taking and experimentation to improve performance
• Displays high energy and enthusiasm on consistent basis.
• Motivates others to achieve or exceed goals
• Seeks and utilizes opportunities for continuous learning and self-development.
• Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).

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

Comments:

Cultural Awareness

• Is open and honest in communications with individuals from other cultures.
• Actively listens to other employees' stories about their culture.
• Communicates with others without the influence of racism.
• Seeks opportunities to learn about the other cultural backgrounds of colleagues.
• Hires individuals with different cultural backgrounds for the department.

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

Comments:

Innovation

• Looks for ways that the company can make profit that are different from how competitors operate.
• Creates innovative methods of developing business opportunities.
• Creates a safe environment for idea-sharing.
• Refines and tailors innovative concepts to better align with strategic objectives and market demands.
• Embraces disruptive strategies enabling the organization to create groundbreaking advancements that outpace competitors.

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

Comments:

Co-worker Development

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

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

Comments:

Planning

• Efficiently manages deadlines.
• Understands what materials will be required to successfully implement the plan.
• Sets up and monitors timeframes and plans
• Accurately estimates the amount of materials/supplies needed for the project.
• Reduces uncertainty in the department through clear planning and schedules.

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.