Continual Improvement - 360 Degree Feedback Survey Sample #10

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

• Analyzes processes to determine areas for improvement.
• Looks for ways to expand and learn new job skills.
• Looks for ways to improve work processes and procedures.
• Looks for ways to expand current job responsibilities.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.

If [Participant Name] were to make improvements in Continual Improvement, what are your suggestions for how he/she can improve this?

Persuasion and Influence

• Understanding what others need.
• Attempts to persuade others rather than simply control them.
• Has excellent influencing/negotiating skills.
• Communicates effectively with others.
• Develops a good rapport with others.

If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Delegation

• Defines goals and objectives for subordinates.
• Assigns tasks to create learning opportunities for the employees.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Clearly defines duties and tasks to be completed.
• Encourages and empowers subordinates to use initiative in achieving goals and objectives.

If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Decision Making

• Recognizes and generates innovative solutions.
• Is firm in their decision and not easily influenced by the whims of others.
• Is aware of the impact of decisions and informs others about potential outcomes.
• Supports, encourages or helps others to be sure about the decisions they are making.
• Willing to change their strategy if new information arises.

If [Participant Name] were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?

Responsible

• ...takes personal responsibility for results.
• Holds herself / himself accountable to goals / objectives
• Completes assigned work tasks.
• Sets a good example
• Is a person you can trust.

If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


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