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

• Supports the successes of other employees.
• Sets performance objectives for subordinates that encourages development opportunities.
• Assigns tasks and responsibilities to develop skills of others.
• Encourages employees through recognition of positive changes in behavior.
• Creates opportunities for professional development.

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

Comments:

Delegation

• Assigns tasks to create learning opportunities for the employees.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Allows subordinates to use their own methods and procedures.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Sets clear and reasonable expectations for others and follows through on their progress.

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

Comments:

Achievement

• Accepts setbacks and challenges as improvement opportunities
• Systematically works to improve the organization
• Set high standards in their performance
• Completes work to a high technical standard
• Demonstrates a well-organized and timely approach to achieve desired results

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

Comments:

Managing Risk

• Able to adapt quickly to changing situations.
• Maintains open communication with other departments.
• Responds appropriately to unexplained or unanticipated events.
• Effectively responds to critical situations to reduce potential for losses.
• Recognizes that small changes may snowball into major events.

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

Comments:

Global Perspective

• Can effectively deliver presentations to international clients.
• Sets the example for team on importance of cultural awareness.
• Aligns personal vision with global strategies.
• Considers customers point of view when making decisions.
• 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.

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.