Coworker Development - 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.

Co-worker Development

• Works to identify root causes of performance problems
• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Gives others development opportunities through project assignments and increased job responsibilities
• Takes immediate action on poor performance
• Sets and clearly communicates expectations, performance goals, and measurements to others

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

Problem Solving

• Works cooperatively with others to solve problems.
• Effective in solving problems.
• Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
• Identifies and assesses all potential responses to a problem.
• Understands the root causes of problems.

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

Conflict Management

• Prevents minor issues from escalating into major problems.
• Investigates opportunities to achieve mutually beneficial solutions to conflicts.
• Identifies strategies to prevent the recurrence of issues.
• Facilitates both parties in collaboratively seeking a compromise.
• Helps others avoid misperceptions about issues.

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

Organizational Fluency

• Adept at navigating within the culture of the department.
• Understands the current organizational culture.
• Gets things done through the department.
• Effective in communicating with others within the organization.
• Able to explain departmental policies and procedures to others.

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

Creativity

• Is creative.
• Develops solutions to challenging problems.
• Adds value to the department/organization.
• Conceives, implements and evaluates ideas.
• Creates a lot of new ideas.

If [Participant Name] were to make improvements in Creativity, 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.