Critical Thinking- 360 Degree Feedback Survey Sample #12

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.

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Critical Thinking

• Organizes data into coherent categories to facilitate comparison and insight.
• Recognizes how data and information could be influenced or compromised.
• Analyzes similarities and differences between observed results and intended goals.
• Identifies and challenges assumptions.
• Distills complex information into actionable patterns that supports problem-solving.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Adaptability

• Adjusts plans to meet new situations.
• Able to meet the needs of various stakeholders.
• Is flexible when dealing with changes.
• Makes adjustments as needed to meet the demands of a dynamic marketplace.
• Embraces change and fosters an open-minded environment.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Feedback

• Fosters a culture of continuous improvement, where feedback is used as a valuable tool for growth and development.
• Willing to consider different viewpoints and understand that diverse perspectives can offer valuable insights.
• Actively seeks contributions from diverse sources to ensure all voices are valued and different viewpoints are incorporated.
• Nurtures an environment that supports lifelong learning and progress.
• Fosters a culture of dialogue and performance insights at all levels which is essential for effective feedback in crucial interactions between employees and their managers.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Goals

• Takes an active role in setting of goals.
• Prioritizes tasks and delegates when necessary to efficiently allocate time, resources and efforts to the completion of goals.
• Gives helpful feedback and lends support to coworkers in reaching their goals.
• Focuses on actions that actively contribute to achieving the goal.
• Establishes and documents goals and objectives.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Trustworthy

• Demonstrates congruence between statements and actions.
• Demonstrates a sense of responsibility and commitment to public trust.
• Communicates an understanding of the other person's interests, needs and concerns.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
• Works in a way that makes others want to work with her/him.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Developing Others

• Creates opportunities for professional development.
• Encourages employees through recognition of positive changes in behavior.
• Supports the successes of other employees.
• Provides constructive feedback to others.
• Tries to ensure employees are ready to move to the next level.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Teamwork

• Coaches team members
• Lets team members know when they have done well.
• Able to work closely other team members who are considered to be difficult to work with.
• Works with other team members to identify bottle necks in the production process.
• Encourages others to share ideas to develop team cohesion

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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