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
Views setbacks as opportunities to learn from.
Pursues self-improvement through continual learning.
Builds on their strengths while addressing their weaknesses.
Pursues professional development opportunities when they arise.
Pursues learning that will enhance job performance.
Feedback	Definite Strength	Meets Standards	Needs Development	N/A
Looks to others for input.
Is easy to approach with ideas and opinions.
Considers other's opinion and suggestions.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Sets clear and reasonable expectations for others and follows through on their progress.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Entrusts subordinates with important tasks.
Assigns tasks to create learning opportunities for the employees.
Clearly defines duties and tasks to be completed.
Quality	Definite Strength	Meets Standards	Needs Development	N/A
Corrects issues in a timely manner.
Holds employees accountable for their quality of work.
Encourages others to produce the highest quality work products.
Encourages employees to produce the best quality products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
Establishes and documents goals and objectives.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Achieves goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Adaptability	Definite Strength	Meets Standards	Needs Development	N/A
Is aware of changes to the policies and procedures.
Will stop what they are doing to help colleagues in need.
Adjusts strategy when new information is presented.
Adapts to changes in team membership.
Adjusts plans to meet new situations.
Action	Definite Strength	Meets Standards	Needs Development	N/A
Does whatever it takes (within reason) to get the job done.
Completes tasks despite obstacles encountered.
Takes advantage of opportunities to move the organization forward.
Rapidly adapts to changes in the situation.
Regularly conducts preventative maintenance on the equipment.
Juggling Multiple Responsibilities	Definite Strength	Meets Standards	Needs Development	N/A
Plans and organizes continuously while performing all other responsibilities and activities.
Is aware of the deadlines for specific tasks/assignments.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Determines which tasks are critical and which tasks are optional.
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Clarity	Definite Strength	Meets Standards	Needs Development	N/A
Makes sure employees understand why they were given certain assignments.
Avoids creating ambiguity or mixed messages.
Uses appropriate grammar and tense in communications.
Checks details thoroughly.
Provides a clear vision for the future.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Builds and maintains the trust of others.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Works in a way that makes others want to work with her/him.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
Takes immediate action on poor performance
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
Understands the expectations of other parties in the negotiation.
Conducts necessary preparations before engaging in negotiations.
Able to influence others to accept certain positions.
Actively listens to conversations to be able to recall important details later.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Others	Definite Strength	Meets Standards	Needs Development	N/A
Consistently demonstrates ability and willingness to trust others.
Includes others in the decision making processes.
Supports the efforts of other employees in implementing solutions to problems.
...treats others with respect and dignity.
Respects the opinions of other employees.

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.