Coworker Development - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Co-worker Development

What does Co-worker Development mean?
It means that ...

• You take immediate action on poor performance
• You provide ongoing feedback to co-workers on your development progress
• You give others development opportunities through project assignments and increased job responsibilities
• You adapt coaching and mentoring approach to meet the style or needs of individuals
• You work to identify root causes of performance problems

To what extent does this person exhibit Co-worker Development?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Self Management

What does Self Management mean?
It means that ...

• You deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• You do not allow own emotions to interfere with the performance of others.
• You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• You set an example for associates during stressful periods by maintaining a positive, can-do attitude.
• You consciously control own negative emotions in order to keep team morale up.

To what extent does this person exhibit Self Management?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Persuasion and Influence

What does Persuasion and Influence mean?
It means that ...

• You ensure stakeholders are involved in the decision making process.
• You develop a good rapport with others.
• You have excellent influencing/negotiating skills.
• You seek to obtain consensus or compromise.
• You attempt to persuade others rather than simply control them.

To what extent does this person exhibit Persuasion and Influence?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Commitment To Result

What does Commitment To Result mean?
It means that ...

• You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
• You take immediate action toward goals.
• You encourage commitment in others to obtain results.
• You are willing to do whatever it takes-not afraid to have to put in extra effort.
• You are able to focus on a task even when working alone.

To what extent does this person exhibit Commitment To Result?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Managing Risk

What does Managing Risk mean?
It means that ...

• I determine the impact of specific risks on finances.
• I monitor enterprise risk management activities for their impact and effectiveness on mitigating risks.
• You respond appropriately to unexplained or unanticipated events.
• I work effectively to mitigate risks.
• You integrate risk management into strategic decision making.

To what extent does this person exhibit Managing Risk?
Select from one of the ratings below.

Not Applicable or Unable to Judge

Poor does not perform to expected standards; often unable to complete tasks; does not seek help or advice

Minimal completes tasks only when pressured to do so; is satisfied with minimal progress; only does what is required

Average completes tasks easily; seeks to obtain maximal performance; willing to seek advice and help when needed

Role Model is a role model for others to follow; goes above and beyond what is expected; helps others

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.