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

• Supports the decisions of others.
• Gives employees the opportunity to make their own decisions at work.
• Sets clear goals for others to accomplish.
• Is aware of the skill levels of others.
• Allows individuals to be responsible for their decisions.

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

Planning

• Open to input from others into the plan for the project.
• Determines the appropriate actions needed to achieve goals.
• Always has a "Plan-B" ready if needed.
• Able to identify the needs of the department before a major change.
• Creates a timeline for events and monitors progress.

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

Negotiation

• Able to influence others to accept certain positions.
• Able to say "no" when it is essential to maintaining quality and high standards.
• Changes communication styles to meet the listener's needs.
• Able to adapt to changing situations.
• Influences others through rational argument and persuasion.

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

Adaptability

• Adjusts tactics and strategies.
• Adjusts plans and procedures.
• Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
• Is open to new ideas and innovations.
• Will stop what they are doing to help colleagues in need.

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.
• Encourages employees to produce the best quality products.
• Holds employees accountable for their quality of work.
• Encourages others to achieve high quality standards.
• Always strives to produce the highest quality work products.

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.