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

• Provides support and resources needed to accomplish goals.
• Allows individuals to be responsible for their decisions.
• Distributes the workload to subordinates.
• Avoids micromanaging their employees.
• Encourages others to obtain necessary skills and training.

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

Planning

• Makes plans and follows through.
• Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
• Able to identify the needs of the department before a major change.
• Anticipates obstacles and ways to overcome them.
• Able to look ahead (beyond the present) when addressing the work/needs of the department.

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

Negotiation

• Is able to decline bad ideas to avoid making poor decisions.
• Establishes clear communications to avoid misunderstandings.
• Maintains communication channels between parties in the negotiation.
• Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
• Able to clearly express thoughts and concerns.

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

Adaptability

• Flexible and open to new ideas and encourages others to value change.
• Recognizes and implements changes to enhance efficiency and effectiveness.
• Works effectively in dynamic and changing work environments.
• Able to quickly learn new ways of performing their job.
• Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.

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

Quality

• Corrects issues in a timely manner.
• Analyze what occurred and re-adjusts accordingly when goals are not met.
• Encourages employees to produce the best quality products.
• Holds employees accountable for their quality of work.
• Reflects on what is working and what could be improved.

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.