Developing Others - 360 Degree Feedback Survey Sample #12

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.

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

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

Developing Others

• Assesses employees' developmental needs.
• Develops employees by offering and encouraging them to take on new or additional responsibilities.
• Provides constructive feedback to others.
• Assigns tasks and responsibilities to develop skills of others.
• Recognizes and celebrates accomplishments of others.

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

Comments:

Delegation

• Allows employees to decide how they wish to complete the tasks.
• Assigns tasks to create learning opportunities for the employees.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Tells subordinates what to do, not how to do it.
• Encourages and empowers subordinates to use initiative in achieving goals and objectives.

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

Comments:

Achievement

• Makes use of talents of others to help achieve a high level of performance.
• Works at a quick pace to complete a high volume of work.
• Is determined to complete tasks regardless of obstacles that may occur.
• Rapidly completes tasks and assignments.
• Takes immediate action of projects fall behind schedule.

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

Comments:

Managing Risk

• Is aware of process safety management.
• Develops policies for risk management.
• Committed to implementing rules and procedures to minimize risk.
• Seeks to increase safety in the workplace.
• Evaluates risks against acceptable risk levels.

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

Comments:

Global Perspective

• Can effectively deliver presentations to international clients.
• Is able to work with individuals having different backgrounds and cultures.
• Analyzes global issues/problems that are having a large impact on the Company.
• Has positive interactions with individuals from different cultures and backgrounds.
• Respects individual differences.

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.