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

• Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
• Completes a large volume of work.
• Encourages risk taking and experimentation to improve performance
• Identifies ways to simplify work processes and reduce cycle times
• Seeks and utilizes opportunities for continuous learning and self-development.

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

Comments:

Cultural Awareness

• Shows respect in daily interactions
• Supports and mentors others that may have different cultural backgrounds.
• Understands the impact that our culture may have on interactions between individuals.
• Values the diverse perspectives from others.
• Seeks knowledge and information about other cultures.

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

Comments:

Innovation

• Challenges current procedures to develop other alternatives.
• Solves problems with insight and understanding.
• Builds upon the ideas and solutions of others.
• Encourages open communication to ensure that all proposals are considered.
• Develops new products and services.

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
• Works to identify root causes of performance problems
• Sets and clearly communicates expectations, performance goals, and measurements to others
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Takes immediate action on poor performance

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

Comments:

Planning

• Able to stay organized and focused using excellent planning skills.
• Creates to-do lists to make sure nothing is missed.
• Prioritizes tasks based on urgency/need.
• Is good at planning for the "unexpected".
• Conducts regular assessments of the project status to ensure adherence to the set schedule.

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.