Empowering Others - 360 Degree Feedback Survey Sample #10

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.

Empowering Others

• Allows individuals to be responsible for their decisions.
• Allows for flexibility in the working hours.
• Fosters a sense of ownership and accountability for the process/product.
• Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
• Recognizes the contributions that others make to the department.

If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

Planning

• Sets up and monitors timeframes and plans
• Is able to follow the plan set in place.
• Makes strategic and tactical decisions to guide the logistics process.
• Determines the allocation of funds based on plans for future development.
• Assigns the right tasks to the right people and holds them accountable.

If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

Negotiation

• Fosters a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
• Actively listens to conversations to be able to recall important details later.
• Aims for solutions that benefit both parties.
• Tailors approaches to more effectively address current demands.
• Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.

If [Participant Name] were to make improvements in Negotiation, what are your suggestions for how he/she can improve this?

Adaptability

• Is flexible and open minded in dealing with others.
• Is aware of changes in the environment.
• Adjusts strategy when new information is presented.
• Easily accepts new responsibilities.
• Is open to changes in policies and procedures.

If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Quality

• Designs effective quality control systems.
• Evaluates and improves the quality of services and products.
• Promotes an environment that fosters quality and safety.
• Analyze what occurred and re-adjusts accordingly when goals are not met.
• Investigates critical incidents that impact quality.

If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.