Empowering Others - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

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Empowering Others

• Creates opportunities for employees to exercise their independence.
• Motivates and encourages employees to be successful in their jobs.
• Expresses confidence in the abilities of others.
• Assigns important tasks to subordinates.
• Allows employees to make their own decisions.

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

Planning

• Encourages others to follow the plan.
• Ensures staff are held accountable for following the department plan.
• Determines what supplies/equipment will be needed for the project.
• Schedules staff based on seasonal needs.
• Determines staffing needs for the project/department.

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

Negotiation

• Creates a decisive, team-oriented environment; clarifies goals; and outlines a strategic agenda.
• Researches the needs of the other party to identify strengths and weaknesses of positions.
• Keeps the negotiations constructive and focused on problem-solving rather than conflict.
• Able to express themselves in a clear, convincing, and logical manner.
• Persuades the other party of the benefits of our proposals.

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

Adaptability

• Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
• Responsive to the needs of others.
• Learns from personal experiences and/or mistakes.
• Able to meet the needs of various stakeholders.
• Able to adjust to changes as needed.

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

Quality

• Views quality issues as a system failure rather than an individual failure.
• Creates effective policies regarding quality of services and products.
• Verifies the operators have the necessary equipment and supplies to ensure high quality.
• Leads the department in quality improvement initiatives.
• Committed to the improvement of the quality of services and 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.