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

• Provides constructive feedback to others.
• Recognizes and celebrates accomplishments of others.
• Supports the successes of other employees.
• Assigns tasks and responsibilities to develop skills of others.
• Creates opportunities for professional development.

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.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Clearly defines duties and tasks to be completed.
• Tells subordinates what to do, not how to do it.

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

Comments:

Achievement

• Reduces staff turnover.
• Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
• Uses established goals and performance measures to keep track of performance.
• Successfully launched the ABC project.
• Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.

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

Comments:

Managing Risk

• Is knowledgeable of standard risk management principles.
• Offers training to reduce safety incidents in the workplace.
• Knows how to obtain desired results with minimal losses.
• Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
• Attends risk management seminars and conferences.

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

Comments:

Global Perspective

• Is able to work with individuals having different backgrounds and cultures.
• Attends training seminars and conferences to increase skills in working with others globally.
• Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
• Volunteers for experiences and assignments abroad.
• Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.

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.