Continual Learning - 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 Learning	Definite Strength	Meets Standards	Needs Development	N/A
Pursues professional development opportunities when they arise.
Views setbacks as opportunities to learn from.
Takes the initiative to learn new skills.
Participates in regular training offered.
Improves on their skill sets.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
Shares past experiences with others as learning opportunities.
Looks to others for input.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Actively seeks feedback from others.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Defines goals and objectives for subordinates.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Tells subordinates what to do, not how to do it.
Sets clear and reasonable expectations for others and follows through on their progress.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Quality	Definite Strength	Meets Standards	Needs Development	N/A
Maintains detailed instructions to ensure consistency and quality in the production line.
Effectively coordinates with other departments to improve quality.
Implements standardized and data driven quality processes/procedures.
Verifies the operators have the necessary equipment and supplies to ensure high quality.
Views quality issues as a system failure rather than an individual failure.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that I have a clear idea of our group's goals.
Goal Setting
Sets high expectations and goals; encourages others to support the organization.
Achieves goals.
Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
Able to adjust to changes as needed.
Able to respond to incidents without stopping the workflow.
Able to work effectively with new people and new teams.
Adapts to new environments.
Responds quickly to new information.
Action	Definite Strength	Meets Standards	Needs Development	N/A
Focuses on tasks without being distracted.
Seeks new opportunities for advancement.
Makes decisions confidently and stands by them.
Does whatever it takes (within reason) to get the job done.
Assigns tasks to individuals who are most able to perform them.
Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
Assigns tasks based on skills of team members.
Plans and organizes continuously while performing all other responsibilities and activities.
Switches attention to more urgent tasks when necessary.
Keeps track of multiple assignments and deadlines.
Is aware of the deadlines for specific tasks/assignments.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
Attends to the important details of a job or task.
Avoids stating unclear or conflicting goals.
Writes clear job descriptions for positions in the organization.
Clearly explains responsibilities to individuals.
Communicates with clarity and efficiency.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Takes care to maintain confidential information.
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Demonstrates congruence between statements and actions.
Consistently keeps commitments.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Negotiation	Definite Strength	Meets Standards	Needs Development	N/A
Uses the motivations of each party to identify mutually advantageous solutions.
Stays calm and focuses on the core issues to be discussed.
Aims for solutions that benefit both parties.
Fosters a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
Fully grasps both party's interests and options.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Treats others with respect and dignity.
Respects the opinions of other employees.
Includes others in the decision making processes.
Constructively receives criticism and suggestions from others.
Consistently demonstrates ability and willingness to trust others.

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

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

    
    
67. Strengths
    
    
    
68. Areas for Development
    
    
    
69. Please give any final comments or suggestions for [Participant Name Here]'s assessment.