Continual Improvement - 360 Degree Feedback Survey Sample #9

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.

Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
Is visible and approachable.
Considers other's opinion and suggestions.
Accepts the views of others.
Seeks feedback to enhance performance.
Actively seeks feedback from others.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Creates a consistent process for prioritizing work.
Accepts accountability for their actions and results.
Takes ownership of mistakes and learns from them.
Can be counted on to do what they say they are going to do.
Holds team accountable to meeting goals.
Integrity	Definite Strength	Meets Standards	Needs Development	N/A
Follows tasks to completion.
Demonstrates honesty and truthfulness at all times.
Protects the integrity and confidentiality of information
Does what was promised.
Establishes relationships of trust, honesty, fairness, and integrity.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to control their own emotions.
Is able to express themselves clearly.
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Project Management	Definite Strength	Meets Standards	Needs Development	N/A
Develops performance measures for various aspects of the project.
Anticipates potential problems and institutes controls and contingency plans to address them.
Defines project outcomes based on customer requirements.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Maintains costs and expenses within budget limits.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
Willingly shares his/her technical expertise; sought out as resource by others
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Seeks information from others as needed.
Willingly shares information and expertise; sought out as resource by others
Demonstrates mastery of the technical competencies required in his/her work.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Develops safety guidelines for the department.
Works to implement corrective safety measures.
Commits adequate resources toward safety measures.
Committed to safety in the workplace.
Creates accurate and effective measures of safety.
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Develops the skills and capabilities of others.
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Establishes clear communications to avoid misunderstandings.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Establishes good working relationships with others.
Influences others through rational argument and persuasion.
Able to influence others to accept certain positions.
Vision	Definite Strength	Meets Standards	Needs Development	N/A
Develops action plans to align his/her work with the goals of the organization
Leads employees in new directions.
Persuades others to follow the Company's vision.
Clearly articulates a vision for his/her work and inspires others to support it
Behaves in a way that is consistent with business values & code of conduct

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.