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

• Looks for ways to expand and learn new job skills.
• Analyzes processes to determine areas for improvement.
• Promotes training and development opportunities to enhance job performance.
• 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.
• Develops a good rapport with others.
• Seeks to obtain consensus or compromise.
• Communicates effectively with others.
• 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.
• Clearly defines duties and tasks to be completed.
• Allows subordinates to use their own methods and procedures.
• Allows employees to decide how they wish to complete the tasks.

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

Decision Making

• Considers the ethical implications of decisions.
• Regularly evaluates information before making important decisions.
• Willing to consider information from other sources.
• Determines the costs and potential benefits of decisions.
• Effectively chooses appropriate courses of action.

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

Responsible

• Sets a good example.
• ...takes personal responsibility for results.
• Acts as a resource without removing individual responsibility.
• Behavior is ethical and honest.
• Completes assigned work tasks.

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.