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

• Open to the suggestions from others.
• Looks for ways to expand current job responsibilities.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Analyzes processes to determine areas for improvement.
• Promotes training and development opportunities to enhance job performance.

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

Persuasion and Influence

• Persuades others to consider alternative points of view.
• Has excellent influencing/negotiating skills.
• Develops a good rapport with others.
• Ensures stakeholders are involved in the decision making process.
• Able to express own goals and needs.

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

Delegation

• Tells subordinates what to do, not how to do it.
• Sets clear and reasonable expectations for others and follows through on their progress.
• Allows employees to decide how they wish to complete the tasks.
• Entrusts subordinates with important tasks.
• Clearly defines duties and tasks to be completed.

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

Decision Making

• Seeks input from key people who should be involved in, or will be affected by, decisions
• Is aware of the impact of decisions and informs others about potential outcomes.
• Applies creative reasoning in making decisions.
• Outlines the parameters influencing the decision making process.
• Is confident in the decisions they make.

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

Responsible

• Responsible for setting the vision of the department.
• Acts as a resource without removing individual responsibility.
• Holds herself / himself accountable to goals / objectives
• Sets a good example.
• Behavior is ethical and honest.

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.