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

• Recognizes and celebrates accomplishments of others.
• Assigns tasks and responsibilities to develop skills of others.
• Supports the successes of other employees.
• Provides constructive feedback to others.
• Encourages employees through recognition of positive changes in behavior.

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

Comments:

Delegation

• Allows subordinates to use their own methods and procedures.
• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Assigns tasks to create learning opportunities for the employees.
• Clearly defines duties and tasks to be completed.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.

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.
• Is flexible in adjusting priorities to meet the demands of changing situations.
• Increased production by 20 percent.
• Successfully completed the orientation training program.
• Increased revenue for the company.

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

Comments:

Managing Risk

• Improves process safety where possible.
• Evaluates the probability of a risk event occurrence.
• Implements strategic risk management in an objective and tactical way.
• Understands the possible financial risks of different events.
• Recognizes the potential financial impact of specific risks.

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

Comments:

Global Perspective

• Engages in problem solving with individuals outside of the country.
• Considers customers point of view when making decisions.
• Volunteers for experiences and assignments abroad.
• Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
• Cooperates with others on a global scale.

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.