Developing Others - 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.

Developing Others	Definite Strength	Meets Standards	Needs Development	N/A
Assigns tasks and responsibilities to develop skills of others.
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Recognizes and celebrates accomplishments of others.
Sets performance objectives for subordinates that encourages development opportunities.
Creates a work environment that fosters positive feedback to employees.
Professional Development	Definite Strength	Meets Standards	Needs Development	N/A
Keep themselves up-to-date of technical/professional issues
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Empowering Others	Definite Strength	Meets Standards	Needs Development	N/A
Ensures employees understand what is being assigned to them.
Lets employees complete tasks according to their methods.
Gives employees input into the decision making process.
Allows individuals to be responsible for their decisions.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Asks follow-up questions as needed.
Is an effective communicator
Deals with difficult situations calmly and confidently.
Communicates effectively with all levels of the organization.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Is able to express themselves clearly.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Prioritizes tasks to identify immediate and long-term objectives.
Does not become flustered by deadlines and timelines.
Deals effectively with interruptions.
Uses agendas when chairing or facilitating meetings.
Sets a good balance between work and family life.
Commitment To Result	Definite Strength	Meets Standards	Needs Development	N/A
Committed to the team.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Takes immediate action toward goals.
Coordinates all department activities into a cohesive team effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Managing Risk	Definite Strength	Meets Standards	Needs Development	N/A
Gathers information regarding potential risks.
Offers training to reduce safety incidents in the workplace.
Accurately perceives potential risks in the workplace.
Implements changes to reduce the chances of critical incidents in the future.
Committed to implementing rules and procedures to minimize risk.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
Takes care to maintain confidential information.
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Demonstrates congruence between statements and actions.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
Encourages open communication
Coaches team members
Seeks and listens to other's contributions
Builds consensus and shares relevant information.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Company	Definite Strength	Meets Standards	Needs Development	N/A
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.