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

• Encourages independent, original thinking and creative problem-solving.
• Allows individuals to be responsible for their decisions.
• Encourages employees to expand their skills in order to take on greater responsibilities.
• Lets employees make their own decisions.
• Fosters a sense of ownership and accountability for the process/product.

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

Planning

• Able to identify the needs of the department before a major change.
• Involves relevant coworkers in the development of the plan.
• Determines the allocation of funds based on plans for future development.
• Makes plans and follows through.
• Anticipates potential challenges, develops plan to overcome them and then carries out the plan.

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

Negotiation

• Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
• Researches the needs of the other party to identify strengths and weaknesses of positions.
• Actively listens to conversations to be able to recall important details later.
• Identifies verbal and nonverbal cues to help interpret actions and messages.
• 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

• Is aware of changes to team personnel.
• Is aware of changes to the policies and procedures.
• Continually trying to improve skills to remain current.
• Accommodates changes as needed.
• Embraces change and fosters an open-minded environment.

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

Quality

• Always strives to produce the highest quality work products.
• Analyze what occurred and re-adjusts accordingly when goals are not met.
• Reflects on what is working and what could be improved.
• Corrects issues in a timely manner.
• Encourages others to achieve high quality standards.

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.